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周围神经损伤修复效果影响因素分析。

Analysis of Influencing Factors of Repair Effect after Peripheral Nerve Injury.

机构信息

Department of Orthopaedics, The Second Affiliated Hospital of Soochow University, Suzhou 215004, China.

Department of Hand-Foot Microsurgery, Huazhong University of Science and Technology Union Shenzhen Hospital, Shenzhen 518052, China.

出版信息

Comput Math Methods Med. 2021 Nov 23;2021:8294267. doi: 10.1155/2021/8294267. eCollection 2021.

DOI:10.1155/2021/8294267
PMID:34858520
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8632468/
Abstract

In order to improve the repair effect after peripheral nerve injury, this paper analyzes the related influencing factors. The regeneration of peripheral nerve includes two continuous and overlapping processes: the acute wound healing period and the axon seeking target tissue period. The complete and effective process of peripheral nerve regeneration includes the sprouting, growth and extension of regenerated axons, and the reconstruction of synaptic connections (neuromuscular junctions) with target organs to realize the reinnervation of nerves and restore function. This process includes three indicators of success in regeneration: structural reconstruction, metabolic regeneration, and functional recovery. In order to improve the repair effect of peripheral nerve injury, relevant influencing factors can be analyzed, and effective improvement of these influencing factors can improve the recovery effect of peripheral nerve injury. Finally, this paper analyzes multiple factors to provide theoretical references for follow-up clinical diagnosis and treatment.

摘要

为了提高周围神经损伤后的修复效果,本文分析了相关影响因素。周围神经的再生包括两个连续且重叠的过程:急性伤口愈合期和轴突寻找靶组织期。周围神经再生的完整而有效的过程包括再生轴突的萌芽、生长和延伸,以及与靶器官的突触连接(运动终板)的重建,以实现神经的再支配并恢复功能。这个过程包括三个成功再生的指标:结构重建、代谢再生和功能恢复。为了提高周围神经损伤的修复效果,可以分析相关影响因素,有效改善这些影响因素可以提高周围神经损伤的恢复效果。最后,本文分析了多个因素,为后续临床诊断和治疗提供了理论参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1da/8632468/6009fbf38e47/CMMM2021-8294267.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1da/8632468/6009fbf38e47/CMMM2021-8294267.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1da/8632468/6009fbf38e47/CMMM2021-8294267.001.jpg

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引用本文的文献

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Experimental study on the repair of peripheral nerve injuries simultaneously coapting the proximal and distal ends of peripheral nerves to the side of nearby intact nerves.将周围神经的近端和远端同时与附近完整神经的侧面吻合以修复周围神经损伤的实验研究。
Front Neurol. 2023 Apr 6;14:1088983. doi: 10.3389/fneur.2023.1088983. eCollection 2023.
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Retracted: Analysis of Influencing Factors of Repair Effect after Peripheral Nerve Injury.撤稿:周围神经损伤后修复效果的影响因素分析
Comput Math Methods Med. 2022 Nov 17;2022:9805194. doi: 10.1155/2022/9805194. eCollection 2022.

本文引用的文献

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Porous nerve guidance conduits reinforced with braided composite structures of silk/magnesium filaments for peripheral nerve repair.多孔神经导管增强丝/镁纤维编织复合结构用于周围神经修复。
Acta Biomater. 2021 Oct 15;134:116-130. doi: 10.1016/j.actbio.2021.07.028. Epub 2021 Jul 18.
2
Advances and clinical challenges for translating nerve conduit technology from bench to bed side for peripheral nerve repair.神经导管技术从实验室到临床治疗外周神经损伤的转化:进展与临床挑战。
Cell Tissue Res. 2021 Feb;383(2):617-644. doi: 10.1007/s00441-020-03301-x. Epub 2020 Nov 17.
3
A Porcine Model of Peripheral Nerve Injury Enabling Ultra-Long Regenerative Distances: Surgical Approach, Recovery Kinetics, and Clinical Relevance.
一种能够实现超长再生距离的周围神经损伤猪模型:手术方法、恢复动力学和临床相关性。
Neurosurgery. 2020 Sep 15;87(4):833-846. doi: 10.1093/neuros/nyaa106.
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Growth factors-based therapeutic strategies and their underlying signaling mechanisms for peripheral nerve regeneration.基于生长因子的治疗策略及其在外周神经再生中的信号转导机制。
Acta Pharmacol Sin. 2020 Oct;41(10):1289-1300. doi: 10.1038/s41401-019-0338-1. Epub 2020 Mar 2.
5
Peripheral nerve injury and myelination: Potential therapeutic strategies.周围神经损伤与髓鞘形成:潜在的治疗策略。
J Neurosci Res. 2020 May;98(5):780-795. doi: 10.1002/jnr.24538. Epub 2019 Oct 13.
6
Effect of exosomes from adipose-derived stem cells on the apoptosis of Schwann cells in peripheral nerve injury.脂肪来源干细胞外泌体对周围神经损伤雪旺细胞凋亡的影响。
CNS Neurosci Ther. 2020 Feb;26(2):189-196. doi: 10.1111/cns.13187. Epub 2019 Jul 6.
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Tissue Eng Part A. 2019 Jun;25(11-12):887-900. doi: 10.1089/ten.TEA.2018.0176. Epub 2018 Dec 28.
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J Neuroinflammation. 2018 Jun 15;15(1):185. doi: 10.1186/s12974-018-1219-0.
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