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Structured Motor Rehabilitation After Selective Nerve Transfers
Published on: August 15, 2019
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永久性语言神经损伤的结果,干预措施和时间:通过元分析和工作流程建议进行系统审查
Federico Bolognesi1, Veronica Scocca2, Federico Biglioli1
1Maxillo-Facial Surgery Unit, Head and Neck Department, San Paolo University Hospital, University of Milan, Milan, Italy.
概括
口腔外科手术造成的语言神经损伤 (LNI) 往往是由于骨提取而产生的. 一年内微手术修复为功能性感官恢复提供了有利的结果.
科学领域:
- 口腔和牙面部外科手术
- 神经外科 神经外科
- 基于证据的医学 基于证据的医学
背景情况:
- 语言神经损伤 (LNI) 是口腔和面外科手术后的常见并发症.
- 了解LNI的流行病学和管理对于改善患者治疗结果至关重要.
研究的目的:
- 对语言神经损伤的流行病学,管理和结果的当前证据进行系统审查和元分析.
- 综合有关LNI后的原因,干预措施和功能性感官恢复 (FSR) 率的数据.
主要方法:
- 一个系统的审查和元分析,遵循PRISMA指南.
- 搜索了主要的数据库 (PubMed/MEDLINE,Cochrane,Scopus,Google Scholar) 进行相关研究.
- 分析了28项研究,包括1358例永久性LNI,使用既有工具评估偏见.
主要成果:
- 在95%的病例中,取被确定为永久性LNI的主要原因.
- 修复的中位时间为7.7个月,干预后的综合功能性感官恢复率为92%.
- 修复时间在6个月前或6个月后没有显著影响恢复结果.
结论:
- 语言神经损伤主要是由于口腔和面外科手术中 extraction造成的.
- 微手术修复产生了有利的功能性感官恢复,特别是当在受伤后的第一年内进行时.
- 标准化报告和拟议的管理准则可以提高LNI患者的护理.
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