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在中风后的上肢性半中,逆侧C7神经转移的后侧与前侧方法:一个比较的回顾性研究
Shuide Chen1,2, Siyuan Pan1,2, Seidu A Richard1,3,4
1Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu, Sichuan, P.R. China.
Medicine
|October 7, 2025
概括
后部单切口C7神经根转移是中风后上肢性半症的安全有效治疗方法,与传统的前部方法相比,可以减少外科创伤和缩短手术时间.
科学领域:
- 神经外科 神经外科
- 整形外科 整形外科 整形外科
- 康复医学 康复医学 康复医学
背景情况:
- 反侧C7 (CC7) 神经根转移 (NRT) 用于中风后的上肢性半 (PULSH).
- 现有的外科手术方法存在诸如长神经桥梁,复杂的解剖学和长时间的恢复等挑战.
研究的目的:
- 为了比较后部单切割CC7 (PSCC7) NRT方法的临床疗效和安全性,与治疗PULSH的传统前部CC7 (ACC7) NRT方法进行比较.
主要方法:
- 追溯性研究比较PSCC7 (后部组,n=12) 和ACC7 (前部组,n=30) 对于PULSH.
- 在6个月的随访中评估了手术时间,血液损失,并发症和功能恢复 (修改的阿什沃思量表,伯格平衡量表).
主要成果:
- 后部组的手术时间显著缩短 (3.2±0.5对4.5±0.8小时,P<.01) 和减少血液损失 (150±40对280±70毫升,P<.01).
- 功能恢复,通过修改的阿什沃思量表和伯格平衡量表评分来评估,在后部组 (P>.05) 中是可比或优越的.
结论:
- PSCC7 NRT方法是一种安全有效的PULSH治疗方法.
- 与ACC7方法相比,PSCC7提供了减少外科创伤和缩短手术时间的优势.
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