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[神经重建与神经移植]

[Nerve reconstruction and nerve grafting].

作者信息

Sinis N, Kraus A, Werdin F, Manoli T, Jaminet P, Haerle M, Schaller H-E

机构信息

Klinik für Hand-, Plastische-, Rekonstruktive und Verbrennungschirurgie, BG-Unfallklinik, Eberhard-Karls-Universität Tübingen, Schnarrenbergstrasse 95, 72076, Tübingen.

出版信息

Chirurg. 2009 Sep;80(9):875-81; quiz 882. doi: 10.1007/s00104-009-1770-4.

DOI:10.1007/s00104-009-1770-4
PMID:19696972
Abstract

The surgical treatment of peripheral nerve injuries is still a challenging and highly demanding procedure. Past results have been improved upon by different advances in microsurgical techniques and algorithms. Nevertheless, results are not always satisfying, making secondary procedures necessary. Thus, these secondary procedures such as tendon transfers and arthrodesis of different joints must be taken into account during reconstructive planning. This review gives an overview of peripheral nerve reconstruction (nerve grafting, nerve repair) and the pertinent secondary procedures.

摘要

周围神经损伤的外科治疗仍然是一项具有挑战性且要求极高的手术。过去的治疗结果已通过显微外科技术和算法的不同进展得到改善。然而,结果并不总是令人满意,这使得二次手术成为必要。因此,在重建规划过程中必须考虑这些二次手术,如肌腱转移和不同关节的关节固定术。本综述概述了周围神经重建(神经移植、神经修复)及相关的二次手术。

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1
[Nerve reconstruction and nerve grafting].[神经重建与神经移植]
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[Tendon transposition to restore muscle function in the hand].[肌腱转位以恢复手部肌肉功能]
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Management of large peripheral nerve defects with autografting.自体移植治疗大周围神经缺损。
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The role of microsurgery in nerve repair and nerve grafting.显微外科手术在神经修复和神经移植中的作用。
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Peripheral nerve repair and grafting techniques: a review.周围神经修复与移植技术:综述
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引用本文的文献

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Sensoric protection after median nerve injury: babysitter-procedure prevents muscular atrophy and improves neuronal recovery.正中神经损伤后的感觉保护:保姆程序可预防肌肉萎缩并改善神经元恢复。
Biomed Res Int. 2014;2014:724197. doi: 10.1155/2014/724197. Epub 2014 Jul 15.

本文引用的文献

1
Tibialis posterior tendon transfer for persistent drop foot after peroneal nerve repair.腓总神经修复后持续足下垂的胫后肌腱转移术
J Reconstr Microsurg. 2009 Mar;25(3):157-64. doi: 10.1055/s-0028-1103502. Epub 2008 Nov 26.
2
Brachial plexus lesions: 10 years of experience in a center for microsurgery in Germany.臂丛神经损伤:德国一家显微外科中心的10年经验
Microsurgery. 2009;29(2):87-94. doi: 10.1002/micr.20583.
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Wrist arthrodesis after double free-muscle transfer in traumatic total brachial plexus palsy.
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Concepts of nerve regeneration and repair applied to brachial plexus reconstruction.应用于臂丛神经重建的神经再生与修复概念。
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Treatment of residual paralysis after injuries of the main nerves; superior extremity.主要神经损伤后残留麻痹的治疗;上肢
Proc R Soc Med. 1949 Oct;42(10):831-5, illust. doi: 10.1177/003591574904201016.
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Gracilis free muscle transfer for restoration of function after complete brachial plexus avulsion.股薄肌游离肌转移用于完全性臂丛神经撕脱伤后功能的恢复。
Neurosurg Focus. 2004 May 15;16(5):E8. doi: 10.3171/foc.2004.16.5.9.
8
Nerve transfers for severe brachial plexus injuries: a review.严重臂丛神经损伤的神经移植:综述
Neurosurg Focus. 2004 May 15;16(5):E5. doi: 10.3171/foc.2004.16.5.6.
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Peripheral nerve regeneration, repair, and grafting.周围神经再生、修复与移植。
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10
Functional restoration of elbow flexion in brachial plexus injuries: results in 167 patients (excluding obstetric brachial plexus injury).臂丛神经损伤后肘关节屈曲功能的恢复:167例患者的结果(不包括产伤性臂丛神经损伤)
J Hand Surg Am. 1993 Mar;18(2):285-91. doi: 10.1016/0363-5023(93)90363-8.