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光化性臂丛神经损伤的外科治疗:大网膜游离微血管移植术

Surgical treatment of actinic brachial plexus lesions: free microvascular transfer of the greater omentum.

作者信息

Brunelli G, Brunelli F

出版信息

J Reconstr Microsurg. 1985 Jan;1(3):197-200. doi: 10.1055/s-2007-1007074.

DOI:10.1055/s-2007-1007074
PMID:4057159
Abstract

Actinic brachial plexus lesions after mastectomy have been treated in 67 cases. Thirty-nine cases have been operated on, 31 of which by means of a free microvascular transfer of the greater omentum. Indications and contraindications of the procedure are discussed, as well as the types of anatomic-pathologic lesions that have been found, and the surgical technique that has been modified and improved over time is presented. Results indicate that free microvascular greater omentum transfer following neurolysis is currently the best method for relief of pain.

摘要

乳房切除术后放射性臂丛神经损伤已治疗67例。其中39例接受了手术,31例采用大网膜游离微血管移植术。文中讨论了该手术的适应证和禁忌证,以及所发现的解剖病理学损伤类型,并介绍了随着时间推移而改进的手术技术。结果表明,神经松解术后大网膜游离微血管移植术是目前缓解疼痛的最佳方法。

相似文献

1
Surgical treatment of actinic brachial plexus lesions: free microvascular transfer of the greater omentum.光化性臂丛神经损伤的外科治疗:大网膜游离微血管移植术
J Reconstr Microsurg. 1985 Jan;1(3):197-200. doi: 10.1055/s-2007-1007074.
2
[A new use for the freely transplanted omentum. Management of a late radiation injury of the brachial plexus using freely transplanted omentum and neurolysis].[游离移植大网膜的新用途。应用游离移植大网膜和神经松解术治疗臂丛神经晚期放射性损伤]
Chirurg. 1978 Nov;49(11):714-8.
3
[Actinic brachial plexus lesion].
Handchir Mikrochir Plast Chir. 1998 Jul;30(4):254-7.
4
Postirradiation lesions of the brachial plexus. Results of surgical treatment.
Hand Clin. 1989 Feb;5(1):23-32.
5
Dorsal root entry zone lesions in the treatment of pain related to radiation-induced brachial plexopathy.背根入髓区损伤治疗放射性臂丛神经病变相关疼痛
J Spinal Disord. 1993 Feb;6(1):44-7.
6
[Microsurgical neurolysis of post-radiotherapy brachial plexitis. Results apropos of 20 cases. Experimental justification of the treatment].
Chirurgie. 1988;114(5):421-31.
7
Neurolized nerve padding in actinic lesions: omentum versus muscle use. An experimental study.光化性病变中神经化神经填充:大网膜与肌肉应用的实验研究
Microsurgery. 1988;9(3):177-80. doi: 10.1002/micr.1920090303.
8
Post irradiation lesions of the brachial plexus.臂丛神经照射后损伤
Ital J Orthop Traumatol. 1983 Sep;9(3):357-63.
9
[Post-radiotherapy lesions of the brachial plexus. Classification and results of surgical treatment].[放疗后臂丛神经损伤。分类及手术治疗结果]
Chirurgie. 1993;119(5):243-51.
10
[Microsurgical treatment of brachial plexus injuries].[臂丛神经损伤的显微外科治疗]
Zentralbl Chir. 1986;111(10):589-96.

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Free fat flap transfer in recurrent neurogenic thoracic outlet syndrome pain treatment: FIRST observational pilot study.游离脂肪瓣移植术治疗复发性神经源性胸廓出口综合征疼痛:首例观察性初步研究。
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2
The Role of Surgery in the Management of Radiation-Induced Brachial Plexopathy.手术在放射性臂丛神经病管理中的作用。
Hand (N Y). 2024 Nov;19(8):1189-1194. doi: 10.1177/15589447231196902. Epub 2023 Sep 16.
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Treatment of radiation-induced brachial plexopathy with omentoplasty.
大网膜成形术治疗放射性臂丛神经病变
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Nerve transfer for elbow flexion in radiation-induced brachial plexopathy: a case report.神经移植治疗放射性臂丛神经病所致肘关节屈曲功能障碍:一例报告
Hand (N Y). 2009 Jun;4(2):123-8. doi: 10.1007/s11552-008-9136-9. Epub 2008 Oct 9.
5
Brachial plexus neuropathy after radiotherapy can be treated by specialist surgeons.放疗后臂丛神经病变可由专科外科医生进行治疗。
BMJ. 1996 Mar 23;312(7033):780. doi: 10.1136/bmj.312.7033.780.