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用组织工程材料治疗创伤性神经瘤的策略

Strategies for Treating Traumatic Neuromas with Tissue-Engineered Materials.

作者信息

Wan Teng, Li Qi-Cheng, Qin Ming-Yu, Wang Yi-Lin, Zhang Feng-Shi, Zhang Xiao-Meng, Zhang Yi-Chong, Zhang Pei-Xun

机构信息

Department of Orthopedics and Trauma, Peking University People's Hospital, Beijing 100044, China.

Key Laboratory of Trauma and Neural Regeneration, Peking University, Beijing 100044, China.

出版信息

Biomolecules. 2024 Apr 16;14(4):484. doi: 10.3390/biom14040484.

Abstract

Neuroma, a pathological response to peripheral nerve injury, refers to the abnormal growth of nerve tissue characterized by disorganized axonal proliferation. Commonly occurring after nerve injuries, surgeries, or amputations, this condition leads to the formation of painful nodular structures. Traditional treatment options include surgical excision and pharmacological management, aiming to alleviate symptoms. However, these approaches often offer temporary relief without addressing the underlying regenerative challenges, necessitating the exploration of advanced strategies such as tissue-engineered materials for more comprehensive and effective solutions. In this study, we discussed the etiology, molecular mechanisms, and histological morphology of traumatic neuromas after peripheral nerve injury. Subsequently, we summarized and analyzed current nonsurgical and surgical treatment options, along with their advantages and disadvantages. Additionally, we emphasized recent advancements in treating traumatic neuromas with tissue-engineered material strategies. By integrating biomaterials, growth factors, cell-based approaches, and electrical stimulation, tissue engineering offers a comprehensive solution surpassing mere symptomatic relief, striving for the structural and functional restoration of damaged nerves. In conclusion, the utilization of tissue-engineered materials has the potential to significantly reduce the risk of neuroma recurrence after surgical treatment.

摘要

神经瘤是对周围神经损伤的一种病理反应,指神经组织的异常生长,其特征为轴突无序增殖。这种情况常见于神经损伤、手术后或截肢后,会导致疼痛性结节结构的形成。传统治疗方法包括手术切除和药物治疗,旨在缓解症状。然而,这些方法往往只能提供暂时的缓解,无法解决潜在的再生挑战,因此需要探索先进的策略,如组织工程材料,以寻求更全面、有效的解决方案。在本研究中,我们讨论了周围神经损伤后创伤性神经瘤的病因、分子机制和组织形态学。随后,我们总结并分析了当前的非手术和手术治疗选择及其优缺点。此外,我们强调了利用组织工程材料策略治疗创伤性神经瘤的最新进展。通过整合生物材料、生长因子、基于细胞的方法和电刺激,组织工程提供了一种超越单纯症状缓解的全面解决方案,致力于受损神经的结构和功能恢复。总之,使用组织工程材料有可能显著降低手术治疗后神经瘤复发的风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40d1/11048257/8fd22c6753b8/biomolecules-14-00484-g004.jpg

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