在创伤人群中,外周神经和臂损伤的流行病学
Maya Zaidman1, Christine B Novak1, Rajiv Midha1
1From the Division of Plastic & Reconstructive Surgery, Tory Trauma Program, Sunnybrook Health Sciences Centre, Toronto, Ont. (Zaidman, Dengler); the Division of Plastic, Reconstructive & Aesthetic Surgery, Department of Surgery, University of Toronto, Toronto, Ont. (Novak, Dengler); the Section of Neurosurgery, Department of Clinical Neurosciences, University of Calgary, Calgary, Alta. (Midha).
概括
周围神经损伤 (PNI) 和臂损伤 (BPI) 影响创伤患者,尖伤害和摩托车事故是常见的原因. 治疗通常涉及手术,用于PNI的初级神经修复和用于BPI的神经移植.
科学领域:
- 创伤外科手术是什么
- 神经学 神经学
- 整形外科 整形外科 整形外科
背景情况:
- 了解外周神经损伤 (PNI) 和臂损伤 (BPI) 对于创伤患者的有效预防和管理至关重要.
- 这项研究旨在分析创伤病例中PNI和BPI的发生率,原因和严重程度.
研究的目的:
- 评估创伤患者中外周神经损伤 (PNI) 和臂损伤 (BPI) 的发生率,原因和严重程度.
- 通过时间来识别神经损伤的损伤机制和治疗方式的趋势.
主要方法:
- 从2002年1月到2020年12月的创伤登记数据库的回顾性审查.
- 对被诊断患有PNI或BPI的患者进行鉴定和分析.
主要成果:
- 在24,905名创伤患者中,335名 (1.3%) 患有PNI,64名 (0.3%) 患有BPI.
- 尖伤害 (39.4%) 和摩托车事故 (32.8%) 是主要的原因. 上肢神经更经常受到影响.
- 69.0%的PNI和53%的BPI患者接受了手术. 初级神经修复在PNI中很常见 (66%),而神经转移在BPI中更频繁 (48%).
结论:
- 创伤患者的神经损伤在过去三十年里有所下降,随着损伤机制和治疗方法的发展.
- 影像,电诊断和手术技术的进步影响了神经损伤管理.
- 识别神经损伤的变化趋势对于优化患者结果和及时治疗至关重要.
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