相关实验视频
Updated: Jul 17, 2026

09:34
Structured Motor Rehabilitation After Selective Nerve Transfers
Published on: August 15, 2019
22.0K
上肢神经传输的感觉:一个系统的审查
Nicholas A Orlando1, Cecil S Qiu1, Emma K Rowley1
1Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, MD.
The Journal of hand surgery
|July 27, 2024
概括
传感神经转移可以在上肢神经受伤后有效地恢复感觉. 转移到数字神经接收器通常为感觉重建带来良好的结果.
科学领域:
- 整形外科手术 整形外科手术
- 神经外科 神经外科
- 再生医学是一种再生医学.
背景情况:
- 上肢的外周神经受伤往往会损害保护感觉和触觉感知.
- 恢复感觉对于功能和生活质量至关重要.
- 对于传感神经转移的最佳捐赠者-接受者配置存在有限的文献.
研究的目的:
- 系统地审查报告的上肢感官神经转移.
- 确定有效的捐赠神经和接受神经组合,以恢复感觉.
主要方法:
- 从1982年到2022年在MEDLINE和EMBASE的原始文章的系统审查.
- 包括报告患者感官结果的研究 (修改后的英国医学研究理事会规模S3或更好地定义为令人满意).
- 分析了39篇符合条件的文章,包括对197名患者进行的27项初级研究.
主要成果:
- 小指的正确部数字神经是部边缘感觉的最可靠接收器 (89%的满意度).
- 对于小指的边缘,长指的正数字神经 (87.5%的良好结果) 和中枢神经的手掌皮分支 (100%的良好结果) 是有效的捐赠者.
- 辐射神经的表面分支是指的边缘和食指的辐射方面最好的捐赠者.
结论:
- 感觉神经转移通常会取得良好的结果.
- 建议将其转移到数字神经接收器,以进行感觉重建.
- 特定的捐赠者-接受者对显示了针对性感官恢复的高成功率.
相关概念视频
Local Anesthetics: Differential Sensitivity of Nerve Fibers
Local anesthetics (LAs) block the sodium channels of nerve trunks, sensory nerve endings, and neuromuscular junctions. Although LAs can block all kinds of nerves, the sensitivity of nerve fibers differs according to nerve types and structures. LAs are known to block myelinated fibers faster than unmyelinated ones. Also, they block pain or sensory neurons at low concentrations without affecting the motor neurons involved in muscle contractions. This helps relieve labor pain without affecting the...
Spinal Nerves: Plexus I
Nerve plexuses are networks of interlacing nerves that serve as communication hubs to distribute and organize nerve action across various body regions. The nerve plexuses are organized into the cervical plexus located in the neck region, brachial plexus in the shoulder area, lumbar plexus found in the lower back, sacral plexus situated in the pelvis, and coccygeal plexus located in the coccygeal region.
The Cervical Plexus
The cervical plexus, formed by the anterior rami of the first four...
The Cervical Plexus
The cervical plexus, formed by the anterior rami of the first four...

