突压缩的不常见解剖学原因:叙述性综述
Tinatin Natroshvili1, Adam Roorda2, Mats van Doorn3
1From the Department of Plastic, Reconstructive and Hand Surgery, Martini Hospital, Groningen.
Annals of plastic surgery
|March 28, 2024
概括
罕见的解剖学变异会导致部神经的压缩. 手术释放部神经对于治疗这些不寻常结构引起的症状是有效的.
科学领域:
- 人体解剖学 解剖学 解剖学
- 神经学 神经学
- 整形外科手术 整形外科手术
背景情况:
- 突神经的压缩可能来自不常见的解剖学变异.
- 识别这些罕见的原因对于有效治疗至关重要.
研究的目的:
- 审查导致部神经压缩的解剖结构和变异.
- 评估这些罕见疾病的治疗选择.
主要方法:
- 系统审查病例报告和系列关于不寻常的腰椎神经压缩.
- 在Embase,MEDLINE和Web of Science进行文献搜索 (2000年1月至2022年4月).
- 包括48项研究,详细介绍了64名患者.
主要成果:
- 确定了引起的结构:上垂,辅助绑架器数码最小,血管异常,长手掌,纤维带和手掌.
- 外科手术释放部神经在除了一个案例之外的所有情况下都进行了.
- 在大多数患者中,手术干预导致症状减少或完全康复.
结论:
- 靠近的压缩可能与超的状表或血管异常有关.
- 远距离压缩涉及诸如辅助绑架器数字最小,手掌长或 flexor carpi ulnaris. 这样的结构.
- 纤维带存在各种位置,并有助于压缩.
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