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选择性上部干部后部划分 带神经转移用于近端脊柱辅助神经病变:说明案例
Kitty Y Wu1, Robert J Spinner2
11Division of Plastic Surgery, and.
Journal of neurosurgery. Case lessons
|September 20, 2023
概括
脊柱辅助神经麻,通常是由部手术引起的,可以通过远端神经移植来治疗. 这种技术在一个案例研究中得到了证明,显示出优秀的肩部功能恢复.
科学领域:
- 神经外科 神经外科
- 整形外科手术 整形外科手术
- 重建性手术是一种重建性手术.
背景情况:
- 脊柱辅助神经麻导致肩膀虚弱,疼痛和有限的头部活动.
- 在部手术过程中产生的创伤是这种情况的常见原因.
- 症状包括侧面的头骨翼和显著的功能障碍.
研究的目的:
- 为了评估远端神经转移对脊柱辅助神经麻的疗效.
- 为了呈现一个成功的神经转移的案例,在iatrogenic损伤后.
- 为了突出晚出病例的手术选择.
主要方法:
- 一名39岁的男性患有甲状腺切除术后症状,接受了外科探索.
- 超声波显示脊柱辅助神经的连续性神经瘤.
- 从上半身的后部划分进行了选择性的远端神经转移.
主要成果:
- 患者在2.5年的随访中实现了完全活跃的肩部绑架和向前曲.
- 卓越的功能恢复允许恢复全职工作.
- 发现了轻微的残留头骨翼,表明明显改善.
结论:
- 距离神经移植是脊柱辅助神经麻的一个可行的选择,当初级修复或移植不可行时.
- 选择性带转移提供了诸如单次切口和更短的再内核化时间等好处.
- 这种技术有助于运动再教育和协同的供体功能.
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