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前侧骨干到部运动神经转移:加拿大观点
Spencer B Chambers1, Kitty Y Wu1, Douglas C Ross1,2
1University of Western Ontario, London, Canada.
概括
加拿大外科医生广泛采用前骨间神经 (AIN) 进行部运动神经转移,以治疗严重的肘部道综合征和高部神经损伤,特别是那些内在缩的人.
科学领域:
- 神经外科 神经外科
- 整形外科手术 整形外科手术
- 整形外科 整形外科 整形外科
背景情况:
- 前骨间神经 (AIN) 到部运动神经的转移越来越多地与手术减压一起用于严重的肘部道综合征 (CuTS) 和高部神经损伤.
- 影响加拿大采用这种神经传输技术的因素仍未得到充分研究.
研究的目的:
- 调查加拿大整形外科医生当前的做法和使用AIN用于部运动神经转移的影响因素.
- 了解神经移植的采用率和首选的手术方法,用于管理CuTS和高神经损伤.
主要方法:
- 电子调查分发给加拿大塑料外科协会 (CSPS) 的所有成员.
- 该调查收集了关于外科医生的培训,神经病态和转移经验以及CuTS和高神经损伤的治疗策略的数据.
主要成果:
- 12%的响应率产生了49个有效的响应.
- 62%的外科医生会考虑在高部神经受伤的情况下进行AIN到部运动超负荷端到侧 (SETS) 传输.
- 75%的外科医生会在内在缩的CuTS中添加AIN-SETS转移到肘部道去压;65%也会解决古伊恩通道.
结论:
- 大多数加拿大整形外科医生倾向于使用AIN-SETS转移来治疗高部神经损伤和严重的CuTS与内在肌肉衰竭.
- 经过专门手术培训的外科医生和职业生涯早期 (<30岁) 的外科医生更有可能在CuTS治疗中使用神经移植.
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