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手臂神经病变的手术神经包裹:一个系统的审查

François Thuau^1,2, Guillaume Gadbled³, Théodore Lahmar^1,2

¹CHU Nantes, Plastic Reconstructive, and Aesthetic Surgery Department, Nantes University, 1 Place Alexis Ricordeau, Nantes, France.

|December 24, 2025

概括

臂包裹显示了疼痛和功能改善的承诺,在诸如神经性胸部外出综合征和辐射诱导的臂病变等条件下. 然而,需要更多高质量的研究来证实其与其他治疗方法相比的有效性.

科学领域:

神经外科神经外科
再生医学是一种再生医学.
手术技巧手术技巧

背景情况:

对于外围神经病变来说,神经包裹已经确立了,但它在臂损伤中的应用仍然不清楚.
神经病变,包括神经性胸部外出综合征 (NTOS) 和辐射诱导的神经病变 (RIBP),存在独特的手术挑战.
腕包裹的指示和最佳技术需要进一步定义.

研究的目的:

对手臂包裹技术进行系统审查.
为了澄清手术方法,并评估手臂包裹的结果.
为了评估神经包裹在治疗臂状交障碍的有效性.

主要方法:

按照PRISMA指南,对PubMed,Scopus,Cochrane图书馆和ProQuest进行系统的文献搜索.
使用MINORS工具进行偏差风险评估.
提取有关患者人口统计,手术技术,结果,并发症和复发情况的数据.

主要成果:

包括17项涉及645名患者的研究,主要针对NTOS (77.1%) 和RIBP (22.6%).
11种技术涉及8个板和3个医疗器械;合成膜是NTOS常见的,板用于RIBP.
报告说,RIBP显著减少疼痛 (91.9%),并改善了运动 (52.5%) 和感官 (50%) 功能. 对于NTOS,QuickDASH的得分提高了23.3分.

结论:

在特定的患者群体中,臂包裹可能对疼痛和功能有好处.
目前的证据受到异质性,回顾性设计和偏见高风险的限制.
标准化,前性受控研究是必要的,以确定包装与神经溶解的作用.

关键词:

臂状交叉 (Brachial Plexus) 是一个手臂的交叉.神经性胸部外出综合征的神经性胸部外出综合征这是一种Plexopathy.系统性审查系统性审查包装包装是为了包装.

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