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“长”神经间隙的处理

Management of "Long" Nerve Gaps.

作者信息

Baek Annabel, Isaacs Jonathan

机构信息

Division of Plastic and Reconstructive Surgery, Virginia Commonwealth University Health System, Richmond, VA.

Division of Hand Surgery, Department of Orthopaedic Surgery, Virginia Commonwealth University Health System, Richmond, VA.

出版信息

J Hand Surg Glob Online. 2024 Feb 17;6(5):685-690. doi: 10.1016/j.jhsg.2024.01.012. eCollection 2024 Sep.

DOI:10.1016/j.jhsg.2024.01.012
PMID:39381376
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11456631/
Abstract

Long-gap nerve injuries offer unique physiological and logistical treatment challenges to the reconstructive surgeon. Options include nerve autograft, processed nerve allograft, nerve transfers, and tendon transfers. This review provides an evidence-framed discussion regarding the pros and cons of these diverse approaches.

摘要

长节段神经损伤给重建外科医生带来了独特的生理和后勤方面的治疗挑战。治疗选择包括神经自体移植、处理过的神经同种异体移植、神经移位和肌腱移位。本综述对这些不同方法的优缺点进行了基于证据的讨论。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e2b/11456631/cb634ab2f641/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e2b/11456631/c5262bafc364/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e2b/11456631/c1e02e3dd3f1/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e2b/11456631/ae7690508b10/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e2b/11456631/6f9836bc1e3d/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e2b/11456631/cb634ab2f641/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e2b/11456631/c5262bafc364/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e2b/11456631/c1e02e3dd3f1/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e2b/11456631/ae7690508b10/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e2b/11456631/6f9836bc1e3d/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e2b/11456631/cb634ab2f641/gr5.jpg

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Clinical Outcomes of Symptomatic Neuroma Resection and Reconstruction with Processed Nerve Allograft.采用处理后的同种异体神经移植进行症状性神经瘤切除与重建的临床结果
Plast Reconstr Surg Glob Open. 2021 Oct 4;9(10):e3832. doi: 10.1097/GOX.0000000000003832. eCollection 2021 Oct.
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Long Acellular Nerve Allografts Cap Transected Nerve to Arrest Axon Regeneration and Alter Upstream Gene Expression in a Rat Neuroma Model.
长去细胞神经同种异体移植物可阻断切断神经以阻止轴突再生，并改变大鼠神经瘤模型中的上游基因表达。
Plast Reconstr Surg. 2021 Jul 1;148(1):32e-41e. doi: 10.1097/PRS.0000000000008051.
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Donor site morbidity after sural nerve grafting: A systematic review.腓肠神经移植供区术后并发症：系统评价。
J Plast Reconstr Aesthet Surg. 2021 Nov;74(11):3055-3060. doi: 10.1016/j.bjps.2021.03.096. Epub 2021 Apr 20.
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Acellular Nerve Allografts in Major Peripheral Nerve Repairs: An Analysis of Cases Presenting With Limited Recovery.去细胞神经同种异体移植物在主要周围神经修复中的应用：对恢复有限的病例进行分析。
Hand (N Y). 2023 Mar;18(2):236-243. doi: 10.1177/15589447211003175. Epub 2021 Apr 21.
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Exp Neurol. 2021 Jul;341:113680. doi: 10.1016/j.expneurol.2021.113680. Epub 2021 Mar 3.
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