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运动神经转移用于重建创伤性上肢神经损伤 - 范围审查

Liron S Duraku¹, Tahseen Chaudhry², Samuel George²

¹Department of Plastic, Reconstructive and Hand Surgery, Amsterdam UMC, Amsterdam, the Netherlands.

|April 1, 2025

概括

神经移植对外围神经损伤有好处,包括缩短神经回的距离和恢复肌肉功能. 本综述指导临床医生使用神经和肌移植用于上肢.

科学领域:

整形外科整形外科整形外科
神经外科神经外科
重建性手术是一种重建性手术.

背景情况:

周围神经损伤 (PNI) 辐射神经,中枢神经和肘部神经传统上通过直接修复或神经移植进行治疗.
晚期呈现或失败的重建往往是通过肌移植来管理的.
由于成熟的证据和证明的好处,神经移植越来越多地被采用.

研究的目的:

为外围神经损伤提供神经转移选项的概述.
指导上肢的临床管理决策.
强调神经移植比传统方法的好处.

主要方法:

对神经移植现有的文献进行范围审查.
对辐射神经,中枢神经和神经损伤的技术分析.
评估神经转移作为主要或辅助的重建策略.

主要成果:

神经转移提供更短的再生内核距离,并保持独立的肌肉功能.
肌移植是可靠的,独立于时间,并提供快速的功能性肢体使用.
结合神经和肌移植的混合方法可以最大限度地提高恢复潜力.

结论:

神经移植是对外围神经损伤的有价值的重建选择.
临床医生应考虑对上肢进行神经移植,特别是在晚期出现或先前干预失败的情况下.
优化患者的结果包括根据个体伤害模式选择适当的神经转移或肌转移策略.

关键词:

文件转移文件转移文件转移中间神经的神经.神经传输神经传输神经传输神经传输周围神经受伤的情况.辐射神经的神经.部神经是一种部神经.

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