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根治性前列腺切除术后改善神经再生的策略:一项叙述性综述

Strategies to improve nerve regeneration after radical prostatectomy: a narrative review.

作者信息

Geuna Stefano, Muratori Luisa, Fregnan Federica, Manfredi Matteo, Bertolo Riccardo, Porpiglia Francesco

机构信息

Department of Clinical and Biological Sciences, University of Turin, Orbassano, Turin, Italy -

Neuroscience Institute Cavalieri Ottolenghi (NICO), Orbassano, Turin, Italy -

出版信息

Minerva Urol Nefrol. 2018 Dec;70(6):546-558. doi: 10.23736/S0393-2249.18.03157-0. Epub 2018 Jul 23.

Abstract

Peripheral nerves are complex organs that spread throughout the entire human body. They are frequently affected by lesions not only as a result of trauma but also following radical tumor resection. In fact, despite the advancement in surgical techniques, such as nerve-sparing robot assisted radical prostatectomy, some degree of nerve injury may occur resulting in erectile dysfunction with significant impairment of the quality of life. The aim of this review was to provide an overview on the mechanisms of the regeneration of injured peripheral nerves and to describe the potential strategies to improve the regeneration process and the functional recovery. Yet, the recent advances in bio-engineering strategies to promote nerve regeneration in the urological field are outlined with a view on the possible future regenerative therapies which might ameliorate the functional outcome after radical prostatectomy.

摘要

周围神经是遍布整个人体的复杂器官。它们不仅经常因创伤而受到损伤,而且在根治性肿瘤切除后也会受到影响。事实上,尽管手术技术有所进步,如保留神经的机器人辅助根治性前列腺切除术,但仍可能发生一定程度的神经损伤,导致勃起功能障碍,严重损害生活质量。本综述的目的是概述受损周围神经的再生机制,并描述改善再生过程和功能恢复的潜在策略。此外,还概述了生物工程策略在泌尿外科领域促进神经再生的最新进展,以期展望未来可能改善根治性前列腺切除术后功能结局的再生疗法。

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