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[显微外科神经修复]

[Microsurgical nerve repair].

作者信息

Ayache A, Langer M F, Cavalcanti Kußmaul A, Unglaub F

机构信息

Abteilung für Handchirurgie, Vulpius Klinik, Vulpiusstr. 29, 74906, Bad Rappenau, Deutschland.

Klinik für Unfall‑, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Münster, Deutschland.

出版信息

Oper Orthop Traumatol. 2024 Dec;36(6):343-353. doi: 10.1007/s00064-024-00867-5. Epub 2024 Nov 18.

DOI:10.1007/s00064-024-00867-5
PMID:39556212
Abstract

Substantial nerve lesions almost always lead to persistent functional deficits, even with ideal treatment. Nerve lesions commonly occur in young patients, are often part of complex injuries, and are repeatedly diagnosed and treated with delay. Functional outcome crucially depends on early and adequate treatment. The aim of surgical treatment is a precise and tension-free microsurgical restoration of nerve continuity in a vital and healthy tissue environment. Adequate microsurgical treatment with differentiated postoperative treatment can result in an excellent clinical outcome, even after a delayed diagnosis.

摘要

严重的神经损伤几乎总会导致持续的功能缺陷,即使采用理想的治疗方法也是如此。神经损伤常见于年轻患者,通常是复杂损伤的一部分,且常被延误诊断和治疗。功能预后关键取决于早期和充分的治疗。手术治疗的目的是在重要且健康的组织环境中精确且无张力地进行显微外科修复神经连续性。即使在延迟诊断后,采用适当的显微外科治疗并结合差异化的术后治疗也可取得优异的临床效果。

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[The treatment of peripheral nerve injuries-A task for interdisciplinary cooperation].[周围神经损伤的治疗——跨学科合作的一项任务]
Nervenarzt. 2023 Dec;94(12):1079-1080. doi: 10.1007/s00115-023-01565-6. Epub 2023 Oct 20.
2
Mechanisms, interventions at risk and clinical presentation of iatrogenic nerve lesions in trauma patients.创伤患者医源性神经损伤的机制、风险干预及临床表现。
Arch Orthop Trauma Surg. 2023 Dec;143(12):7245-7253. doi: 10.1007/s00402-023-05009-3. Epub 2023 Aug 18.
3
[Nerve transfer in forearm and hand].[前臂和手部的神经移植]
Oper Orthop Traumatol. 2021 Oct;33(5):375-376. doi: 10.1007/s00064-021-00736-5. Epub 2021 Sep 23.
4
[Nerve transposition (nerve transfer): development and principles].[神经转位术(神经移植):发展与原理]
Oper Orthop Traumatol. 2021 Oct;33(5):377-383. doi: 10.1007/s00064-021-00735-6. Epub 2021 Sep 13.
5
[Revision surgery for carpal and cubital tunnel syndrome].[腕管综合征和肘管综合征的翻修手术]
Orthopade. 2020 Sep;49(9):751-761. doi: 10.1007/s00132-020-03969-7.
6
Acute and long-term costs of 268 peripheral nerve injuries in the upper extremity.上肢 268 例周围神经损伤的急性和长期费用。
PLoS One. 2020 Apr 6;15(4):e0229530. doi: 10.1371/journal.pone.0229530. eCollection 2020.
7
Advances in the repair of segmental nerve injuries and trends in reconstruction.节段性神经损伤修复的进展和重建的趋势。
Muscle Nerve. 2020 Jun;61(6):726-739. doi: 10.1002/mus.26797. Epub 2020 Jan 13.
8
[Surgical approaches to the hand].[手部手术入路]
Oper Orthop Traumatol. 2019 Oct;31(5):372-383. doi: 10.1007/s00064-019-0622-8. Epub 2019 Jul 29.
9
Peripheral Nerve Defects: Overviews of Practice in Europe.周围神经缺损:欧洲的实践概述
Hand Clin. 2017 Aug;33(3):545-550. doi: 10.1016/j.hcl.2017.04.005.
10
Neurographic course Of Wallerian degeneration after human peripheral nerve injury.人类周围神经损伤后华勒氏变性的神经影像学过程
Muscle Nerve. 2017 Aug;56(2):247-252. doi: 10.1002/mus.25489. Epub 2017 Feb 27.