IJpma Frank F A, Nicolai Jean-Phillipe A, Meek Marcel F
University Medical Centre Groningen, Groningen, the Department of Plastic Surgery, Groningen, The Netherlands.
Ann Plast Surg. 2006 Oct;57(4):391-5. doi: 10.1097/01.sap.0000221963.66229.b6.
This study presents a long-term evaluation of sural nerve donor-site morbidity in patients with at least 15 years' follow-up (mean 26 years) after sural nerve harvesting for peripheral nerve repair. Twenty-nine patients (mean age 30 years at time of surgery) participated in a retrospective analysis using a questionnaire. The subjective patient evaluations indicated a significant recovery of the sural nerve donor site with regard to sensory loss, pain, and cold sensitivity over time. Beyond 5 years, no further improvement is to be expected. Our findings provide a guideline for general patient information regarding sural nerve donor-site morbidity. An area of sensory loss of approximately the size of 5 x 6 cm is to be expected, and 20%-30% of the patients experienced minimal levels of pain, cold sensitivity, functional impairment, and scar discomfort. The latter 2 were confined to inconvenience with bumping of the donor site and putting on shoes.
本研究对因周围神经修复而取腓肠神经的患者进行了长期评估，随访时间至少15年（平均26年）。29名患者（手术时平均年龄30岁）参与了一项使用问卷的回顾性分析。患者的主观评估表明，随着时间的推移，腓肠神经供区在感觉丧失、疼痛和冷敏感方面有显著恢复。5年后，预计不会有进一步改善。我们的研究结果为关于腓肠神经供区发病率的一般患者信息提供了指导原则。预计会出现面积约为5×6厘米大小的感觉丧失区域，20%-30%的患者经历了最低程度的疼痛、冷敏感、功能障碍和瘢痕不适。后两者仅限于供区碰撞和穿鞋时的不便。
