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前骨间神经端到侧转移在近端椎神经损伤中的作用:一项比较研究

Yener Yoğun¹, Uğur Bezirgan², Mehmet Batu Ertan³

¹Ankara Training and Research Hospital, Hand Surgery Unit, Ankara, Turkey.

Journal of hand and microsurgery

|August 15, 2025

概括

与标准修复相比,端到侧 (ETS) 神经转移对高部神经损伤的益处很小. 功能结果和肌肉强度在各组之间基本上相似,这表明附加值有限.

科学领域:

神经外科神经外科
手术手术手术手术手术
周围神经修复周围神经修复

背景情况:

高神经受伤对功能恢复构成挑战.
端到侧 (ETS) 神经转移是一种潜在的重建选择.
关于ETS神经转移对近道部神经损伤的疗效的数据有限.

研究的目的:

为了比较ETS神经转移后的内在功能结果与标准腰椎神经修复.
评估ETS神经转移对肌肉缩,手部形和功能评分的影响.

主要方法:

对15名近亲神经切断的患者进行了回顾性研究.
部神经修复 (UNR) 组 (n=9) 和UNR与ETS神经传输 (UNR + ETS) 组 (n=6) 之间的比较.
评估内在缩,抓爪,Froment标志,沃顿伯格标志,DASH分数,两点歧视,抓握/捏握力和肌肉力量.

主要成果:

两组之间的内在缩,抓爪,Froment/Wartenberg标志或DASH分数没有显著差异.
握力,捏力和两点歧视没有显示出任何显著的群体差异.
统计学上显著的差异仅在第一个背部骨肌的强度上被发现.

结论:

端到侧神经转移对于高神经损伤几乎没有额外的好处.
标准的部神经修复似乎在功能结果上与修复ETS神经转移相比较.
可能需要进一步的研究来确定特定的患者亚组,这些患者可以从ETS神经传输中受益.

关键词:

前部骨间神经的前部骨间神经.末端到侧面的神经传输神经修复神经的修复.部神经受伤的原因

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