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脊髓损伤患者上肢重建的神经和肌移植:系统性审查

Ramin Shekouhi¹, Hassan Darabi², Xizhao Chen³

¹Division of Plastic and Reconstructive Surgery, Department of Surgery, Louisiana State University Health Sciences Center, New Orleans, LA, USA.

The journal of hand surgery Asian-Pacific volume

|February 27, 2026

概括

神经和肌移植在脊髓损伤 (SCI) 后显著改善上肢功能. 这些手术技术可以恢复手握和肘部伸展,增强患者的独立性和生活质量.

科学领域:

整形外科整形外科整形外科
神经外科神经外科
康复医学康复医学康复医学

背景情况:

脊髓损伤 (SCI) 经常导致上肢,减少患者的独立性.
像神经和肌移植这样的手术选择可以恢复手握和肘部伸展.
这些有效的外科手术技术的有限使用需要进一步审查.

研究的目的:

系统地审查部SCI患者上肢重建的神经和肌移植的临床结果.
综合关于手术干预在SCI后功能恢复的疗效的证据.
确定常见的转移技术及其相关结果.

主要方法:

在主要数据库 (PubMed,Scopus,Embase,Web of Science) 进行系统的文献搜索,遵循PRISMA指南.
包括报告SCI患者神经或肌移植的定量结果的研究.
由于异质性而导致的数据的描述性综合;使用纽卡斯尔-太华尺度评估偏差风险.

主要成果:

包括30项涉及568名患者和766个肢体的研究 (15个神经,15个肌移植).
常见的神经转移包括骨转移到前骨间神经 (AIN);常见肌转移涉及延伸肌长 (ECRL) 延伸肌长 (ECRL) 延伸肌长 (FDP).
这两种技术都带来了显著的功能收益,神经移植提供了更好的生物力学和肌移植提供了更大的力量;早期康复是有益的.

结论:

神经和肌移植是改善部SCI上肢功能的有效手术策略.
这些重建程序提供了实质性的功能恢复,积极影响生活质量.
这些技术的进一步研究和临床应用是有必要的.

关键词:

神经传输神经传输神经传输神经传输周围神经的神经.脊髓损伤导致的脊髓损伤倾向转移的倾向转移上部四肢的上部四肢是什么

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