手术在治疗辐射引起的臂丛神经病中的作用。

IF 1.8 Q2 ORTHOPEDICS
HAND Pub Date : 2024-11-01 Epub Date: 2023-09-16 DOI:10.1177/15589447231196902
Mira Shoukry, Shelley S Noland
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引用次数: 0

摘要

放疗诱发的臂丛神经病(RIBP)是一种罕见的长期放疗并发症,通常会导致患者疼痛、运动障碍和整体生活质量下降。虽然 RIBP 的标准治疗方法尚未确立,但主要是通过使用药物和物理治疗来控制症状。手术治疗的疗效尚缺乏证据。网膜成形术和其他血管瓣是常用的消除 RIBP 相关神经性疼痛的方法。但是,这些方法对运动功能没有明显改善。目前的文献表明,神经转移可能是缓解神经病理性疼痛和恢复运动功能的一种选择,尽管这种方法很有限。这篇文献综述探讨了受 RIBP 影响的患者可以选择的方法,重点关注手术的作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Role of Surgery in the Management of Radiation-Induced Brachial Plexopathy.

Radiation-induced brachial plexopathy (RIBP) is a rare long-term complication of radiation therapy often causing pain, motor deficit, and overall quality of life reduction for affected patients. While a standard treatment for RIBP is yet to be established, management consists mostly of symptom management through the use of medications and physical therapy. There is a lack of evidence regarding the efficacy of surgical treatment. Omentoplasties and other vascularized flaps are commonly discussed options for eliminating neuropathic pain associated with RIBP. However, these approaches show no meaningful improvement in motor function. While limited, current literature suggests that nerve transfers may be an option for relief of neuropathic pain as well as restoration of motor function. This review of literature explores the options available to those affected by RIBP with a focus on the role of surgery.

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来源期刊
HAND
HAND Medicine-Surgery
CiteScore
3.30
自引率
0.00%
发文量
209
期刊介绍: HAND is the official journal of the American Association for Hand Surgery and is a peer-reviewed journal featuring articles written by clinicians worldwide presenting current research and clinical work in the field of hand surgery. It features articles related to all aspects of hand and upper extremity surgery and the post operative care and rehabilitation of the hand.
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