在部分坐骨神经损伤中恢复脚部曲的表面部到部神经转移:说明案例
Ken Porche1, Kitty Y Wu1, Robert J Spinner1
1Department of Neurologic Surgery, Mayo Clinic, Rochester, Minnesota.
Journal of neurosurgery. Case lessons
|March 24, 2025
概括
一种新的神经转移成功地恢复了坐骨神经受伤的患者的足部屈曲. 这种技术在复杂的下肢神经损伤后有望改善功能.
科学领域:
- 神经外科 神经外科
- 整形外科手术 整形外科手术
- 再生医学是一种再生医学.
背景情况:
- 下肢外围神经损伤显著损害了功能和生活质量.
- 脚部曲的丧失是这种伤害后的常见和使人虚弱的缺陷.
- 创新的神经转移技术对于在神经损伤的情况下恢复功能至关重要.
研究的目的:
- 提出一种新的神经转移技术,用于在患有不完整的坐骨神经损伤的患者中恢复脚下 flexion.
- 为了评估部分表面神经转移到神经的腹腔半分支的疗效.
主要方法:
- 介绍了一个27岁的男性的案例研究,他因枪击引起的坐骨神经受伤.
- 患者在受伤后的11个月从表面神经转移到神经的侧面胃角神经分支.
- 功能性结局和电肌图检测结果在2年后期进行了评估.
主要成果:
- 患者在足部屈曲中恢复了M4的强度.
- 脚扭动,背部曲和脚伸展强度保持在M5.
- 电肌图证实正在进行的侧面胃角肌肉的再内化.
结论:
- 在特定的坐骨神经损伤中,部分表面部神经转移到部神经的侧面胃角神经分支是一种可行的选择,用于恢复特定的坐骨神经损伤的足部屈曲.
- 这种量身定制的外科手术方法可以显著提高复杂的外周神经损伤的患者的功能恢复.
- 外科创新在促进治疗下肢神经损伤方面发挥着至关重要的作用.
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