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神经缺损治疗的最新评估:自体移植、异体移植和神经移位术

An Updated Evaluation of the Management of Nerve Gaps: Autografts, Allografts, and Nerve Transfers.

作者信息

Johnson Anna Rose, Said Abdullah, Acevedo Jesus, Taylor Ruby, Wu Kitty, Ray Wilson Z, Patterson J Megan, Mackinnon Susan E

机构信息

Division of Plastic and Reconstructive Surgery, Washington University School of Medicine, St. Louis, Missouri.

Division of Hand and Microvascular Surgery, Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota.

出版信息

Semin Neurol. 2025 Feb;45(1):157-175. doi: 10.1055/s-0044-1791665. Epub 2024 Oct 11.

Abstract

Within the past decade, there have been multiple innovations in the field of nerve surgery. In this review, we highlight critical changes and innovations that have helped advance the field and present opportunities for further study. This includes the modification and clarification of the classification schema for nerve injuries which informs prognosis and treatment, and a refined understanding and application of electrodiagnostic studies to guide patient selection. We provide indications for operative intervention based on this nerve injury classification and propose strategies best contoured for varying injury presentations at differing time points. Lastly, we discuss new developments in surgical techniques and approaches based on these advancements.

摘要

在过去十年中,神经外科领域出现了多项创新。在本综述中,我们重点介绍了有助于推动该领域发展的关键变化和创新,并提出了进一步研究的机会。这包括对神经损伤分类方案的修改和澄清,这有助于判断预后和指导治疗,以及对电诊断研究的更深入理解和应用,以指导患者的选择。我们基于这种神经损伤分类提供手术干预的指征,并针对不同时间点不同损伤表现提出最适合的策略。最后,我们讨论基于这些进展的手术技术和方法的新发展。

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