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应用神经导管治疗骨间后神经损伤的功能恢复:一例报告

Functional Recovery of Posterior Interosseous Nerve Injury Treated With a Nerve Conduit: A Case Report.

作者信息

Sasaki Ken, Sasaki Toru, Yamamoto Akiko, Sekiguchi Teruhiko, Wakabayashi Yoshiaki

机构信息

Department of Orthopaedic Surgery, Yokohama City Minato Red Cross Hospital, Yokohama, JPN.

Department of Functional Joint Anatomy, Institute of Science Tokyo, Tokyo, JPN.

出版信息

Cureus. 2025 May 1;17(5):e83303. doi: 10.7759/cureus.83303. eCollection 2025 May.

DOI:10.7759/cureus.83303
PMID:40452707
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12126152/
Abstract

In peripheral nerve injuries, autologous nerve grafting is often performed when direct anastomosis is difficult, but in cases involving sensory nerves, nerve conduits may be useful. However, there are few reports on the use of nerve conduits for motor nerve injuries. In this case, we used a nerve conduit to treat a posterior interosseous nerve injury, which is a predominantly motor nerve, and achieved relatively favorable results. This case suggests that nerve conduits could be useful for small-gap, thin motor nerve defects, especially when the injury is close to the neuromuscular junction.

摘要

在外周神经损伤中,当直接吻合困难时,常进行自体神经移植,但在涉及感觉神经的病例中,神经导管可能会有用。然而,关于将神经导管用于运动神经损伤的报道很少。在本病例中,我们使用神经导管治疗主要为运动神经的骨间后神经损伤,并取得了相对良好的效果。该病例表明,神经导管可用于小间隙、细的运动神经缺损,尤其是当损伤靠近神经肌肉接头时。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82bb/12126152/9d4a908b218d/cureus-0017-00000083303-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82bb/12126152/b9e5eb8d0fb6/cureus-0017-00000083303-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82bb/12126152/3a194912d018/cureus-0017-00000083303-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82bb/12126152/1be02a455acb/cureus-0017-00000083303-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82bb/12126152/ab46462bd574/cureus-0017-00000083303-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82bb/12126152/345fbd090c88/cureus-0017-00000083303-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82bb/12126152/ab7fb34bb18f/cureus-0017-00000083303-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82bb/12126152/9d4a908b218d/cureus-0017-00000083303-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82bb/12126152/b9e5eb8d0fb6/cureus-0017-00000083303-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82bb/12126152/3a194912d018/cureus-0017-00000083303-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82bb/12126152/1be02a455acb/cureus-0017-00000083303-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82bb/12126152/ab46462bd574/cureus-0017-00000083303-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82bb/12126152/345fbd090c88/cureus-0017-00000083303-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82bb/12126152/ab7fb34bb18f/cureus-0017-00000083303-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82bb/12126152/9d4a908b218d/cureus-0017-00000083303-i07.jpg

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本文引用的文献

1
Using the Neuromuscular Junction Cellular Response to Predict Functional Recovery after Nerve Grafting in a Mouse Experimental Model.利用神经肌肉接头细胞反应预测小鼠实验模型中神经移植后的功能恢复。
Plast Reconstr Surg. 2024 Sep 1;154(3):551-561. doi: 10.1097/PRS.0000000000011074. Epub 2023 Sep 19.
2
What is Normal? Neuromuscular junction reinnervation after nerve injury.正常是什么?神经损伤后的神经肌肉接头再支配。
Muscle Nerve. 2019 Nov;60(5):604-612. doi: 10.1002/mus.26654. Epub 2019 Aug 23.
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Bridging a 30 mm defect in the canine ulnar nerve using vessel-containing conduits with implantation of bone marrow stromal cells.
使用含血管导管并植入骨髓基质细胞修复犬尺神经30毫米缺损。
Microsurgery. 2016 May;36(4):316-24. doi: 10.1002/micr.22391. Epub 2015 Mar 14.
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Peripheral nerve repair and reconstruction.周围神经修复与重建。
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US Food and Drug Administration/Conformit Europe-approved absorbable nerve conduits for clinical repair of peripheral and cranial nerves. Commentary.美国食品药品监督管理局/欧洲合格认证的用于周围神经和颅神经临床修复的可吸收神经导管。评论。
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Development and validation of an illustrated questionnaire to evaluate disabilities of the upper limb.用于评估上肢残疾的图文问卷的开发与验证
J Bone Joint Surg Br. 2010 Jul;92(7):963-9. doi: 10.1302/0301-620X.92B7.23410.
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Technical use of synthetic conduits for nerve repair.合成导管在神经修复中的技术应用。
J Hand Surg Am. 2010 May;35(5):838-41. doi: 10.1016/j.jhsa.2010.02.025. Epub 2010 Apr 9.
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Regeneration of peripheral motor nerve gaps with a polyglycolic acid-collagen tube: technical case report.使用聚乙醇酸-胶原管修复周围运动神经缺损:技术病例报告
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