St. Louis, Mo. From Washington University School of Medicine.
Plast Reconstr Surg. 2014 Feb;133(2):313-319. doi: 10.1097/01.prs.0000436856.55398.0f.
Peripheral nerve injury is a significant problem affecting greater that 1 million people around the world each year and poses major challenges to the plastic and reconstructive surgeon. When primary nerve repair is not possible, several options for management of the nerve gap include a nerve autograft, nerve conduit, and acellular nerve allograft. For extensive and proximal nerve injuries, cellular nerve allografts and nerve transfers may be considered. This article reviews the indications and outcomes for each option, as in many cases more than one option may be acceptable.
周围神经损伤是一个重大问题，影响全球每年超过 100 万人，对整形和重建外科医生构成重大挑战。当无法进行初级神经修复时，神经间隙的几种处理方法包括神经自体移植物、神经导管和去细胞神经同种异体移植物。对于广泛和近端神经损伤，可考虑使用细胞神经同种异体移植物和神经转移。本文综述了每种方法的适应证和结果，因为在许多情况下，可能有不止一种方法是可以接受的。
