【摘要】 目的：报告早期神经移位移植治疗产瘫的方法和疗效。方法：１９９５年５月～１９９６年８月，对１２例出生后３个月无肌力恢复的产瘫患儿进行手术治疗，上干不全损伤神经瘤形成者８例，上干完全断裂或根性撕脱４例，采用４种神经移位移植术修复上干。用Ｍａｌｅｔ评分评价疗效。结果：术后随访１６～２８个月，平均２０．８个月，肩肘功能完全恢复３例，达ＭａｌｅｔⅣ级６例，优良率７５％，膈神经移位优良率８３．３％，副神经移位优良率６６．７％。结论：早期神经移位移植治疗产瘫可获得满意疗效更多还原

【Abstract】 Objective:To investigate the result following nerve transfering and grafting in the treatment of obstetrical brachial plexus palsy.Methods:From May 1995 to August 1996,12 patients who had no recovery of biceps at the 3rd month of age underwent nerve transfering or grafting,8 had a neuroma at the upper trunk,4 were rapture or avulsion of upper trunk.Mallet test was used to evaluate the results.Results:After 16 to 28 months of follow-up,excellent and good function were found in 75% of patients.Conclusions:Satisfactory outcome will be achieved if neuroma can be treated by nerve transfering and grafting in early stage.更多还原