对超选择性神经切除术进行系统审查,以管理的上肢
Sam J Stuart1, Carlos R Martinez2, Joshua M Adkinson2
1Indiana University School of Medicine, Terre Haute, USA.
概括
高选择性神经切除术 (HSN) 有效地减少上肢性,同时保持肌肉力量和运动范围. 长期结果显示复发率最小,尽管需要进一步标准化.
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:
- 上肢度是一个重大的临床挑战.
- 超选择性神经切除术 (HSN) 正在引起人们对治疗的兴趣.
- 需要进行系统的文献评估来评估HSN的疗效.
研究的目的:
- 系统地评估关于高选择性神经切除术 (HSN) 对上肢性的文献.
- 评估HSN对减轻性,肌肉力量和运动范围 (ROM) 的影响.
主要方法:
- 在Ovid MEDLINE,Embase和Scopus中进行了系统的文献审查.
- 分析了9项涉及253例高选择性神经切除术的研究.
- 结果集中在肩膀,肘部,前臂,手腕和手指的性,力量和ROM上.
主要成果:
- 在HSN的研究中,有显著的减轻了性调节.
- 肌肉强度和ROM在HSN后保持或略有改善.
- 轻微,非统计学意义上的性复发在长期随访中被注意到.
结论:
- 超选择性神经切除术是对上肢的有希望的治疗方法,可以改善音调,力量和ROM.
- 手术技术的异质性和结果报告限制了最终的解释.
- 对于未来的HSN研究,建议采用标准化方案和扩展后续监测.
关键词:
超选择性神经切除术是一种超选择性神经切除术.这是神经切除术.性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性等.系统性审查 系统性审查在上肢的上端.上肢上的上肢是什么意思上部运动神经元疾病.更多相关视频
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