Trehan Samir K, Model Zina, Lee Steve K
Department of Hand & Upper Extremity Surgery, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA.
Department of Hand & Upper Extremity Surgery, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA.
Hand Clin. 2016 May;32(2):119-25. doi: 10.1016/j.hcl.2015.12.002. Epub 2016 Feb 28.
Direct repair and nerve autografting are primary options in the treatment of upper extremity peripheral nerve injuries. Deciding between these surgical options depends on the mechanism of injury, time since injury, and length of repair defect. Principles of direct repair and nerve autografting are reviewed. Finally, a literature-based review of the outcomes of upper extremity peripheral nerve repair and autografting is provided. Taken together, this article provides relevant and recent data for surgeons regarding patient selection, technique selection, surgical technique, surgical outcomes, and prognostic factors that will aid surgeons treating patients with upper extremity peripheral nerve injuries.
直接修复和神经自体移植是治疗上肢周围神经损伤的主要选择。在这些手术选择之间做出决定取决于损伤机制、受伤后的时间以及修复缺损的长度。本文回顾了直接修复和神经自体移植的原则。最后，提供了基于文献的上肢周围神经修复和自体移植结果的综述。综上所述，本文为外科医生提供了有关患者选择、技术选择、手术技术、手术结果和预后因素的相关最新数据，这些数据将有助于外科医生治疗上肢周围神经损伤患者。
