在上肢的反复性神经病变.
Hannah C Langdell1, Steven L Zeng1, Tyler S Pidgeon2
1Division of Plastic, Reconstructive, Maxillofacial and Oral Surgery, Duke University Medical Center, Durham, NC.
Journal of hand surgery global online
|July 31, 2023
概括
管理固的手腕和肘部道综合征需要仔细的诊断和经常的修复手术. 神经溶解和神经包裹等技术旨在改善持久手和上肢神经病变的结果.
科学领域:
- 整形外科 整形外科 整形外科
- 神经学 神经学
- 手术手术手术手术手术
背景情况:
- 手腕道综合征和肘部道综合征可以导致显著的手和上肢疼痛和虚弱.
- 虽然初级减压通常可以缓解症状,但管理持久性或复发性神经病变是一个挑战.
- 通过病史和体检进行准确的诊断至关重要,以确定反抗性症状的病因.
研究的目的:
- 审查上肢持续性,复发性或新的神经病变的原因.
- 讨论目前对强迫性手腕和肘部道综合征的治疗选择.
- 在管理这些具有挑战性的神经病变时,分析用于修订程序的手术结果.
主要方法:
- 本综述综合了关于反抗性上肢神经病变的病因信息.
- 它检查了当前的治疗策略,包括保守和手术干预.
- 该审查分析了与这些条件的修复手术相关的结果.
主要成果:
- 对于患有复发性神经病变的患者来说,经常需要修复性手术来缓解症状.
- 手术技术涉及广泛的暴露和神经溶解,以解决残留压缩.
- 使用血管化组织和神经包裹是常见的,以促进有利的周围神经环境,并减少痕复发.
结论:
- 强迫性手掌和肘部道综合征需要彻底的诊断评估,以指导有效的治疗.
- 修复性手术,采用神经溶解和保护性组织移植,是管理持续症状的关键策略.
- 了解病因和优化手术技术对于改善挑战性神经病变患者的治疗结果至关重要.
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