人工全膝关节置换后切口周围皮肤麻木:如何治疗?
Dermal hypoesthesia surrounding the incision after total knee arthroplasty: how to treat?
摘要
Abstract
BACKGROUND: Dermal hypoesthesia surrounding the incision usually occurs after total knee arthroplasty (TKA), which severely affects the patients' life quality. But the relevant studies are still immature, and its prevention methods and prognosis remain controversial.OBJECTIVE: To review the research and progress of dermal hypoesthesia following TKA.METHODS: A computer-based online research of CJFD, WanFang, VIP and Medline databases was performed for the literature addressing the dermal hypoesthesia surrounding the incision after TKA published from December 2001 to December 2016. The keywords were "total knee arthroplasty, incision, numbness, abnormal sensation" in English and Chinese, respectively. Finally, 36 eligible articles were selected for result analysis after excluding the repetitive ones.RESULTS AND CONCLUSION: (1) Dermal hypoesthesia surrounding the incision following TKA is commonly seen, but the related researches are few. Most of researches concentration on protecting against cutaneous nerve injury by modifying surgical approach, nerve conduit, neural nutrients and surgical repair, but all possess certain shortcomings, so there is a lack ideal prevention scheme. (2) The repairing methods for peripheral nerve injury, including biomolecular, cell and catheter therapies, have been applied in the repair of cutaneous nerve injury following TKA, but still on initial stage,and its effectiveness and safety need to be confirmed in depth. (3) Therefore, whether dermal hypoesthesia surrounding the incision following TKA needs treatment or not, and how to treat is an urgent problem for joint surgeon.关键词
骨科植入物/人工假体/全膝关节置换术/切口/皮肤麻木/国家自然科学基金分类
医药卫生引用本文复制引用
韩燕鸿,潘建科,刘军,杨伟毅,曹学伟,郭达..人工全膝关节置换后切口周围皮肤麻木:如何治疗?[J].中国组织工程研究,2017,21(31):5048-5053,6.基金项目
国家自然科学基金项目(81473698,81273781) （81473698,81273781）
教育部高等学校博士点科研基金项目(20124425110004) （20124425110004）
广东省科技计划项目 (2011B031700027) （2011B031700027）
广东省财政厅项目([2014]157号) （[2014]157号）
广东省中医药管理局项目(20164020) （20164020）
广东省中医院中医药科学技术研究专项(YK2013B2N19,YN2015MS15)the National Natural Science Foundation of China, No. 81473698 and 81273781 （YK2013B2N19,YN2015MS15）
the Doctoral Fund of Ministry of Education of China, No. 20124425110004 （）
the Science and Technology Program of Guangdong Province, No. 2011B031700027 （）
the Project of the Department of Finance of Guangdong Province, No. [2014]157 （）
the Project of Traditional Chinese Medicine Bureau of Guangdong Province, No. 20164020 （）
the Traditional Chinese Medicine Research Project of Guangdong Provincial Hospital of Chinese Medicine, No. YK2013B2N19 and YN2015MS15 （）
