外科医生对截肢后外周神经干预的时间和应用的偏好:全国性调查
Aidan S Weitzner1, Jeffrey Khong1, Zachary H Zamore1
1From the Departments of Plastic and Reconstructive Surgery.
Annals of plastic surgery
|January 20, 2026
概括
针对性肌肉再生 (TMR) 和再生外围神经接口 (RPNI) 越来越多地用于神经瘤预防. 然而,由于协调问题,推率仍然很低,这凸显了需要提高跨学科意识和简化途径的需要.
科学领域:
- 神经外科 神经外科
- 整形外科 整形外科 整形外科
- 整形外科手术 整形外科手术
背景情况:
- 症状性神经瘤影响了5%-25%的截肢者.
- 向肌肉再生 (TMR) 和再生外围神经接口 (RPNI) 在神经瘤治疗和预防中是有效的.
- 缺乏关于预防性TMR/RPNI实施的国家共识.
研究的目的:
- 确定与外围神经干预相关的外科医生特征.
- 分析TMR/RPNI的转诊模式.
- 确定预防性TMR/RPNI更广泛采用的障碍.
主要方法:
- 一项REDCap调查被发送给3628名医生;303人回答了.
- 参与者是美国手术协会 (ASSH) 或肌肉骨瘤协会 (MSTS) 的成员.
- 医生报告了培训,程序使用,时间和感知到的障碍.
主要成果:
- 进行外围神经外科手术的外科医生更有可能有10年以下的实践经验,是学术人士,并在整形外科接受过培训.
- 86%进行外围神经手术的外科医生使用TMR或RPNI进行预防.
- 42%的神经外科医生认为缺乏咨询是障碍;38%的截肢外科医生引用TMR/RPNI,在学术环境中比例更高.
结论:
- 对于神经瘤预防的TMR和RPNI的采用正在增加.
- 推率较低的原因是协调挑战和不一致的咨询.
- 需要更广泛的跨学科意识和精简的转诊来将证据转化为实践.
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