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失败的手腕和阴茎道释放的管理:基于证据的成功指南
Andrew K Ence1, Brent R DeGeorge1,2
1Department of Orthopaedic Surgery, University of Virginia, Charlottesville, VA.
Journal of hand surgery global online
|July 31, 2023
概括
持久或复发的手腕道和肘部道综合征需要准确的诊断来指导治疗. 本综述提供了一个基于证据的指南,用于管理这些具有挑战性的神经压缩条件.
科学领域:
- 整形外科 整形外科 整形外科
- 神经外科 神经外科
- 手术手术手术手术手术
背景情况:
- 手腕道综合征 (CTS) 和肘部道综合征 (CUBTS) 是普遍存在的上肢压缩性神经病变.
- 对于CTS和CUBTS的手术干预通常会产生很高的成功率.
- 持续或复发的CTS和CUBTS带来了重大的临床挑战.
研究的目的:
- 审查持续性和复发性CTS和CUBTS的诊断和管理.
- 为治疗这些具有挑战性的疾病的临床医生提供基于证据的指南.
- 要区分持久性和复发性,以便进行最佳的治疗计划.
主要方法:
- 综合文献综述,重点关注持久性和反复性CTS和CUBTS.
- 诊断标准和临床表现的分析.
- 根据先前的手术和诊断发现,评估手术和非手术治疗选择.
主要成果:
- 准确的诊断对于有效治疗持续性/复发性神经病变至关重要.
- 治疗选择范围从复习减压到软组织手术.
- 具体的技术包括外部神经溶解,下垂体脂肪,转位和神经包裹.
结论:
- 持久和复发的手腕和肘部道综合征需要仔细的诊断和量身定制的治疗策略.
- 修复神经减压和软组织重组技术提供了可行的选择.
- 基于证据的方法可确保在具有挑战性的病例中为患者提供最佳的治疗结果.
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