[靶向肌肉再支配：用于智能假肢的人机接口手术技术]
[Targeted muscle reinnervation: a surgical technique of human-machine interface for intelligent prosthesis].
作者信息
Guo Yao, Zhao Wei, Huang Jianping, Shen Mingkui, Li Sijing, Liu Cheng, Su Xiuyun, Li Guanglin, Bi Sheng, Pei Guoxian
机构信息
Medical College of Southern University of Science and Technology, Shenzhen Guangdong, 518055, P. R. China.
Shenzhen Institute of Advanced Technology, Chinese Academy of Sciences, Shenzhen Guangdong, 518055, P. R. China.
出版信息
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2023 Aug 15;37(8):1021-1025. doi: 10.7507/1002-1892.202304045.
OBJECTIVE
To review targeted muscle reinnervation (TMR) surgery for the construction of intelligent prosthetic human-machine interface, thus providing a new clinical intervention paradigm for the functional reconstruction of residual limbs in amputees.
METHODS
Extensively consulted relevant literature domestically and abroad and systematically expounded the surgical requirements of intelligent prosthetics, TMR operation plan, target population, prognosis, as well as the development and future of TMR.
RESULTS
TMR facilitates intuitive control of intelligent prostheses in amputees by reconstructing the "brain-spinal cord-peripheral nerve-skeletal muscle" neurotransmission pathway and increasing the surface electromyographic signals required for pattern recognition. TMR surgery for different purposes is suitable for different target populations.
CONCLUSION
TMR surgery has been certified abroad as a transformative technology for improving prosthetic manipulation, and is expected to become a new clinical paradigm for 2 million amputees in China.
目的
回顾靶向肌肉再支配（TMR）手术在构建智能假肢人机接口中的应用，为截肢者残肢功能重建提供一种新的临床干预模式。
方法
广泛查阅国内外相关文献，系统阐述智能假肢的手术要求、TMR手术方案、目标人群、预后以及TMR的发展与未来。
结果
TMR通过重建“脑-脊髓-周围神经-骨骼肌”神经传导通路并增加模式识别所需的表面肌电信号，促进截肢者对智能假肢的直观控制。不同目的的TMR手术适用于不同的目标人群。
结论
TMR手术在国外已被认证为改善假肢操控的变革性技术，有望成为我国200万截肢者的新临床模式。
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