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具有超声神经图的经验,用于术后评估向肌肉再内核的目标肌肉

Emily R Finkelstein^1,2, Helen Hui-Chou³, Natalia Fullerton⁴

¹Dewitt Daughtry Family Department of Surgery, Division of Plastic and Reconstructive Surgery, University of Miami Miller School of Medicine, Miami, FL, USA. erf92@miami.edu.

Skeletal radiology

|September 4, 2023

概括

超声波神经学可以区分成功的和失败的向肌肉再生 (TMR) 手术结果. 这种成像技术可以识别神经连续性和肌肉再生,有助于早期检测TMR并发症.

科学领域:

神经外科神经外科
再生医学是一种再生医学.
医疗成像医学成像

背景情况:

向肌肉再生 (TMR) 增强了假肢控制,并预防了幻肢疼痛和神经瘤.
有限的文献存在于不良的TMR结果和术后成像的作用.
评估TMR成功往往依赖于临床评估,这可能会推迟诊断并发症.

研究的目的:

为了说明超声波神经学在区分TMR手术结果中的实用性.
评估术后超声波在评估神经再生和肌肉整合中的作用.
突出超声波在早期识别TMR故障方面的潜力.

主要方法:

关于两名接受上肢截肢和TMR的患者的病例报告.
术后超声神经图以评估TMR部位.
评估神经连续性,神经瘤形成和肌肉缩.

主要成果:

患者1:超声波证实了神经连续性和肌肉整合的成功重新内核化.
患者2:超声波显示神经不连续性,神经瘤形成和肌肉缩,表明TMR失败.
在这两种情况下,超声波精确地区分了成功的TMR和失败的TMR.

结论:

超声波神经学有效地可视化神经连续性和肌肉再内核化后TMR.
手术后的超声波可以比单独的临床评估更早地发现失败的TMR.
早期诊断TMR失败有助于进一步的手术规划,并改善患者的治疗结果.

关键词:

神经传输神经传输神经传输神经传输神经瘤是一种神经瘤.重新内化是指重新内化 TMR TMR TMR 是一个很好的方法.超声波超声波是指超声波的使用.

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