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首页> 外文期刊>Neurosurgery >Obturator nerve transfer as an option for femoral nerve repair: case report.
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Obturator nerve transfer as an option for femoral nerve repair: case report.

机译：闭孔神经移植作为股神经修复的一种选择：病例报告。

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OBJECTIVE: Nerve transfers have proved to be an important addition to the armamentarium in the repair of brachial plexus lesions, but have been used sparingly for lower extremity nerve repair. Here, we present what is believed to be the first description of a successful transfer of the obturator nerve to the femoral nerve. CLINICAL PRESENTATION: A 45-year-old woman presented with a complete femoral nerve lesion after removal of a large (15-cm) schwannoma of the retroperitoneum involving the lumbar plexus. INTERVENTION: The obturator nerve was transferred to the distal stump of the femoral nerve in the retroperitoneal space at the inguinal ligament three months post-injury. At 2 years post-repair, the patient demonstrated 4 out of 5 return (Medical Research Council grade) of quadriceps function and was able to walk nearly normally. CONCLUSION: In cases in which there are extensive gaps in the femoral nerve, transfer of the obturator nerve provides an option to traditional nerve graft repair.
机译：目的：神经移植已被证明是臂丛神经损伤修复中重要的补充，但已被少量用于下肢神经修复。在这里，我们介绍了被认为是闭孔神经向股神经成功转移的第一个描述。临床表现：一名45岁妇女在切除腹膜后累及腰丛的大（15厘米）神经鞘瘤后出现完全股神经损伤。干预：损伤后三个月，闭孔神经被转移至腹股沟韧带腹膜后间隙的股神经远端残端。修复后2年，患者表现出股四头肌功能恢复（五分之四）（医学研究理事会等级），并且能够正常行走。结论：在股神经间隙广泛的情况下，闭孔神经的转移为传统的神经移植修复提供了一种选择。

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