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臂丛神经损伤中的脊神经根损伤：新手术策略的基础科学与临床应用。综述

Spinal nerve root injuries in brachial plexus lesions: basic science and clinical application of new surgical strategies. A review.

作者信息

Carlstedt T P

机构信息

Department of Orthopaedics, Karolinska Hospital Stockholm, Sweden.

出版信息

Microsurgery. 1995;16(1):13-6. doi: 10.1002/micr.1920160106.

DOI:10.1002/micr.1920160106
PMID:7658961
Abstract

This paper reviews studies aimed at developing novel surgical means to correct functional deficits after spinal nerve root injuries in brachial plexus lesions. In a long series of animal experiments it has been possible to demonstrate re-established connectivity between severed roots and the damaged spinal cord segment. This encouraging functional recovery by a new surgical strategy of managing ventral root avulsion injuries prompted clinical application, with restoration of activity.

摘要

本文综述了旨在开发新型手术方法以纠正臂丛神经损伤后脊神经根损伤所致功能缺陷的研究。在一系列长期的动物实验中，已能够证明切断的神经根与受损脊髓节段之间重新建立了连接。这种通过处理腹侧神经根撕脱伤的新手术策略实现的令人鼓舞的功能恢复促使了其临床应用，并恢复了活动能力。

相似文献

1
Spinal nerve root injuries in brachial plexus lesions: basic science and clinical application of new surgical strategies. A review.臂丛神经损伤中的脊神经根损伤：新手术策略的基础科学与临床应用。综述
Microsurgery. 1995;16(1):13-6. doi: 10.1002/micr.1920160106.
2
Experimental studies on surgical treatment of avulsed spinal nerve roots in brachial plexus injury.臂丛神经损伤中脊髓神经根撕脱伤手术治疗的实验研究
J Hand Surg Br. 1991 Dec;16(5):477-82. doi: 10.1016/0266-7681(91)90098-9.
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Ventral root re-implantation is better than peripheral nerve transplantation for motoneuron survival and regeneration after spinal root avulsion injury.对于脊髓神经根撕脱伤后的运动神经元存活和再生，腹侧神经根再植入术优于周围神经移植术。
BMC Surg. 2013 Jun 24;13:21. doi: 10.1186/1471-2482-13-21.
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Functional recovery after ventral root avulsion and implantation in the spinal cord.脊髓腹侧神经根撕脱与植入后的功能恢复
Clin Neurol Neurosurg. 1993;95 Suppl:S109-11. doi: 10.1016/0303-8467(93)90046-j.
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[Surgery of post-traumatic brachial plexus lesions (personal approach in 2003)].[创伤后臂丛神经损伤的外科治疗（2003年个人治疗方法）]
Handchir Mikrochir Plast Chir. 2004 Feb;36(1):29-36. doi: 10.1055/s-2004-817832.
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Neurotizations by means of the cervical plexus in over 100 patients with from one to five root avulsions of the brachial plexus.在100余例臂丛神经有1至5根神经根撕脱伤的患者中采用颈丛神经进行神经移植。
Microsurgery. 1993;14(4):285-8. doi: 10.1002/micr.1920140414.
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Motor recovery and the breathing arm after brachial plexus surgical repairs, including re-implantation of avulsed spinal roots into the spinal cord.臂丛神经手术修复后的运动恢复及呼吸臂，包括将撕脱的脊髓神经根重新植入脊髓。
J Hand Surg Eur Vol. 2007 Apr;32(2):170-8. doi: 10.1016/J.JHSB.2006.11.011. Epub 2007 Jan 16.
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Brachial plexus injuries.
Clin Neurol Neurosurg. 1993;95 Suppl:S1-2. doi: 10.1016/0303-8467(93)90026-d.
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A surgical approach for concomitant spinal cord and brachial plexus surgery: an anatomical study.一种脊髓与臂丛神经联合手术的手术入路：一项解剖学研究。
Chir Main. 1998;17(2):159-64. doi: 10.1016/s0753-9053(98)80011-2.
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Reimplantation of ventral rootlets into the cervical spinal cord after their avulsion: an anterior surgical approach.神经根撕脱后将腹侧神经根重新植入颈脊髓：一种前路手术方法。
Clin Neurol Neurosurg. 1993;95 Suppl:S112-8. doi: 10.1016/0303-8467(93)90047-k.

引用本文的文献

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Ultrastructural Evidence of Synapse Preservation and Axonal Regeneration Following Spinal Root Repair with Fibrin Biopolymer and Therapy with Dimethyl Fumarate.纤维蛋白生物聚合物修复脊髓神经根及富马酸二甲酯治疗后突触保留和轴突再生的超微结构证据
Polymers (Basel). 2023 Jul 26;15(15):3171. doi: 10.3390/polym15153171.
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Long-Term Outcome of Brachial Plexus Reimplantation After Complete Brachial Plexus Avulsion Injury.臂丛神经完全撕脱伤后臂丛神经再植的长期预后
World Neurosurg. 2017 Jul;103:28-36. doi: 10.1016/j.wneu.2017.03.052. Epub 2017 Mar 30.
3
Neuropathological Characteristics of Brachial Plexus Avulsion Injury With and Without Concomitant Spinal Cord Injury.
伴有和不伴有脊髓损伤的臂丛神经撕脱伤的神经病理学特征
J Neuropathol Exp Neurol. 2016 Jan;75(1):69-85. doi: 10.1093/jnen/nlv002.
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At-level neuropathic pain is induced by lumbosacral ventral root avulsion injury and ameliorated by root reimplantation into the spinal cord.腰段神经性疼痛由腰骶部腹侧神经根撕脱伤诱发，而将神经根重新植入脊髓可使其缓解。
Exp Neurol. 2007 Mar;204(1):273-82. doi: 10.1016/j.expneurol.2006.11.003. Epub 2006 Dec 21.
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Sonographic evaluation of brachial plexus pathology.臂丛神经病变的超声评估
Eur Radiol. 2004 Feb;14(2):193-200. doi: 10.1007/s00330-003-1997-2. Epub 2003 Jul 5.