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通过中间肌际隔膜链来管理腰椎神经外流

Brandon M Larson¹, Alex Shikhman¹, Meghan S Brown¹

¹Summa Health, Akron, OH, USA.

Hand (New York, N.Y.)

|May 30, 2023

概括

这项研究引入了一种新的手术技术,用于治疗肘部道综合征 (CuTS),该手术技术使用带V环来减压和稳定部神经,改善患者的治疗结果,而无需转移风险.

科学领域:

整形外科手术整形外科手术
神经学神经学
外周神经手术外周神经手术

背景情况:

阴茎道综合征 (CuTS) 在手术管理中存在重大挑战,原因是缺乏对最佳技术的共识.
突神经转移是一种常见的手术方法,与增加的发病率有关.
部神经外置往往使CuTS复杂化,需要有效的稳定策略.

研究的目的:

评估CuTS的一种新的手术技术,涉及到in situ部神经减压和带V-sling.
评估这项技术在预防腰椎神经脱方面的有效性.
将结果与传统方法进行比较,旨在减少外科手术致病率.

主要方法:

对35名患者 (39个肘部) 的回顾性审查,这些患者通过 Fascial V-sling 进行了 in situ 部神经减压.
数据收集包括患者人口统计,单次评估数值评估 (SANE) 评分和手臂,肩膀和手的快速残疾 (QuickDASH) 评分.
统计分析利用奇平方和学生的t测试来比较手术前后的结果.

主要成果:

在33名接受减压治疗的患者中,在37名患者中,经手术内确认了神经外置.
在SANE得分显著改善,从手术前的64.5分到术后的82.3分.
术前的QuickDASH得分从49.3显著降低到术后的10.8,长期随访 (平均564天) 持续低得分.

结论:

描述的形V-sling技术为CuTS提供了有效的位置上部神经减压.
这种方法成功地解决了部神经外置,改善了功能结果和症状缓解.
这种V-sling方法可以避免与神经转移手术相关的手术风险增加.

关键词:

这是一个V-sling.阴茎道综合征是什么诊断诊断诊断诊断诊断诊断面部带的带.这是一种神经神经神经神经神经神经.神经压缩压缩神经压缩部部位脱 (ulnar subluxation) 是一个严重的疾病.

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