腹部神经损伤的外科治疗
Courtney Carlson Strother1, Lauren E Dittman1, Robert J Spinner1,2
1Department of Orthopedic Surgery, Mayo Clinic, 200 1st Street SW, Rochester, MN, 55902, USA.
Acta neurochirurgica
|July 21, 2023
概括
对创伤性神经损伤的手术结果显示出不同的结果. 虽然许多患者恢复了一些脚的力量,但很大一部分仍然需要脚脚,这表明神经修复或转移后的恢复变化.
科学领域:
- 整形外科手术 整形外科手术
- 神经学 神经学
- 创伤学 创伤学 创伤学
背景情况:
- 创伤性神经损伤通常是由于高能量的创伤造成的.
- 手术管理是这些使人虚弱的伤害的关键方法.
研究的目的:
- 评估神经损伤的人口统计和手术结果.
- 为了比较神经移植与神经转移用于神经修复的有效性.
主要方法:
- 对患有神经损伤的患者 (2001-2022) 的回顾性审查.
- 伤害机制的分析,手术时间,以及手术前后的评估.
- 与神经移植和神经移植之间的结果 (抗重力背部曲) 的比较,随访时间≥9个月.
主要成果:
- 59.5%的患者在手术后实现了反重力背部曲.
- 44.4%的神经移植和42.9%的神经移植患者达到抗重力强度.
- 在神经移植和神经移植之间,背部屈曲强度没有显著差异 (p=0.51).
- 51.4%的患者需要一个脚和脚的骨架.
结论:
- 神经受伤与诸如膝关节脱等高能量事件有关.
- 手术干预并不能保证足背的完全恢复.
- 可变的结果需要对治疗挑战和预后进行彻底的患者咨询.
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