坐骨神经损伤修复的结果：一项系统评价。
Outcomes of Sciatic Nerve Injury Repairs: A Systematic Review.
作者信息
Turkman Ahmed, Thanaraaj Vyshnavi, Soleimani-Nouri Payam, Harb Elissa, Thakkar Mehul
机构信息
Imperial College London, Faculty of Medicine, London, United Kingdom.
Glasgow Royal Infirmary, Glasgow, United Kingdom.
出版信息
Eplasty. 2023 Jul 14;23:e42. eCollection 2023.
BACKGROUND
The objective of this study was to investigate the surgical repair techniques and the outcomes of sciatic nerve injuries in traumatic wounds.
METHODS
A literature search was conducted using the following keywords: and
RESULTS
In total, 715 studies were retrieved. After abstract review, 13 articles fit the criteria. A total of 2627 repairs were carried out, including nerve grafts (n = 953), suture (n = 482), and neurolysis (n = 1192). Six studies reported good motor outcome, and good sensory outcome was reported across 2 studies. The thigh region accounted for 81.5% of lesions. Sciatic, peroneal, and tibial nerves were all equally affected. Gunshot wounds were the most common mechanism of injury (22.6%).
CONCLUSIONS
The cumulative evidence demonstrates sciatic nerve injury repair has poor motor and sensory outcomes. This study shows there is a lack of standardized outcome measures, making comparisons very difficult. Graft lengths of <4 cm within the intermediate region yielded more successful outcomes. Further higher quality studies of nerve transfers in the lower limbs are needed to determine the optimal repair to restore sciatic nerve function.
背景
本研究的目的是探讨创伤性伤口中坐骨神经损伤的手术修复技术及疗效。
方法
使用以下关键词进行文献检索：以及
结果
共检索到715项研究。经摘要审查，13篇文章符合标准。共进行了2627例修复手术，包括神经移植（n = 953）、缝合（n = 482）和神经松解术（n = 1192）。6项研究报告了良好的运动结果，2项研究报告了良好的感觉结果。大腿区域占损伤的81.5%。坐骨神经、腓总神经和胫神经均受到同等程度的影响。枪伤是最常见的损伤机制（22.6%）。
结论
累积证据表明坐骨神经损伤修复的运动和感觉结果较差。本研究表明缺乏标准化的结果测量方法，使得比较非常困难。中间区域内移植长度<4 cm可获得更成功的结果。需要进一步开展关于下肢神经移植的高质量研究，以确定恢复坐骨神经功能的最佳修复方法。
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