Brachial plexus nerve injury treatment principles 1, early and correct diagnosis to grasp the “golden time” after nerve injury, its regenerative capacity and repair time is very close, 1 to 3 months after the injury is the nerve repair “golden period”, delayed diagnosis, the prognosis is poor.
2.Define the nature of nerve injury and decide the treatment plan Nerve oscillation: usually can be healed by conservative treatment; Nerve axonal rupture: there is a possibility of self-recovery, but in between the axonal rupture appears hematoma compression or fibrous tissue extension is difficult to self-recovery; Nerve rupture: must be operated to explore.
3, the correct grasp of the indications for surgery emergency and early surgical exploration: (1) open injury, it is estimated that the nerve has been broken, is unlikely to recover on its own, should be performed as soon as possible nerve exploration; (2) closed nerve injury after a certain period of observation (generally 3 months), no regeneration performance, should be performed surgical exploration; (3) after conservative treatment, although the recovery of partial function, but stay again at a certain level, after 3 months interval (3) after conservative treatment, although partial recovery of function, but stays at a certain level again, after 3 months interval and no recovery of the main function, surgical exploration should be performed; (4) after nerve surgery according to the nerve growth rate of 1mm/d, the function is not recovered should be re-probed nerve anastomosis; (5) after nerve surgery, nerve regeneration again bone fiber tract has obstructed performance.
Late surgical indications: 1 to 2 years after injury patients then the following cases for surgery: (1) the loss of nerve major function has not been restored, or recovery is not satisfactory, muscle atrophy is obvious should be functional reconstruction surgery; (2) nerve injury although several years, the main function of the limb has not been restored, but no significant muscle atrophy, but still Section consider nerve surgery exploration; (3) nerve injury or repair, functional recovery is not one and have The following cases, even if the time is more than 2 years, can also be surgical investigation: the function has been restored, but the progress suddenly stopped; accompanied by nerve injury-related pain.