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神经修复的最新进展。

Recent advances in nerve repair.

机构信息

Department of Neurosurgery, Division of Spine Surgery, Clinical Neurosciences Centre, University of Utah, Salt Lake City, Utah, USA.

Department of Clinical Neurosciences and Hotchkiss Brain Institute, University of Calgary, Canada.

出版信息

Neurol India. 2019 Jan-Feb;67(Supplement):S106-S114. doi: 10.4103/0028-3886.250702.

Abstract

Peripheral nerve injuries are extremely devastating, and their management is exceedingly complex. Microsurgical repair is the mainstay of treatment and this includes direct nerve repair, nerve grafts, nerve tubes and nerve transfers. Today, nerve transfers are being widely performed due to an increased understanding of cortical plasticity, motor re-education and perioperative rehabilitation, and they are now known to produce excellent functional outcomes. This manuscript reviews the current strategies for nerve repair, including comments on outcomes, with special emphasis on existing nerve transfer techniques.

摘要

周围神经损伤极其严重,其治疗非常复杂。显微外科修复是治疗的主要方法,包括直接神经修复、神经移植、神经套管和神经转移。如今,由于对皮质可塑性、运动再教育和围手术期康复的认识不断提高,神经转移得到了广泛应用,现已证实其可产生极好的功能效果。本文综述了目前的神经修复策略,包括对结果的评价,并特别强调了现有的神经转移技术。

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