Grant G A, Goodkin R, Kliot M
Department of Neurological Surgery, University of Washington, and Puget Sound Health Care System, Seattle, USA.
Neurosurgery. 1999 Apr;44(4):825-39; discussion 839-40. doi: 10.1097/00006123-199904000-00077.
To illustrate how an understanding of the basic biological responses of peripheral nerves to injury is important in formulating a rational treatment plan.
Peripheral nerve anatomy and physiology are described in a context that is relevant to understanding the different grades of peripheral nerve injury. Methods of evaluating and treating peripheral nerve injuries both medically and surgically are reviewed. Relevant scientific studies with potential clinical impact are also discussed.
The clinical symptoms, physical findings, and electrodiagnostic and imaging test results relevant to the diagnosis of peripheral nerve problems are reviewed. Conventional and new medical or surgical strategies in the management of peripheral nerve injuries and mass lesions are described.
The diagnosis and treatment of peripheral nerve injuries follow logically from an understanding of the biological responses of peripheral nerves after injury and during recovery.
阐述理解外周神经对损伤的基本生物学反应在制定合理治疗方案中的重要性。
在与理解不同程度外周神经损伤相关的背景下描述外周神经解剖学和生理学。回顾医学和外科评估及治疗外周神经损伤的方法。还讨论了具有潜在临床影响的相关科学研究。
回顾了与外周神经问题诊断相关的临床症状、体格检查结果以及电诊断和影像学检查结果。描述了外周神经损伤和肿块性病变管理中的传统及新的医学或外科策略。
外周神经损伤的诊断和治疗合理地源于对外周神经损伤后及恢复过程中生物学反应的理解。
