Laing T A, Sierakowski A, Elliot D
Hand Surgery Department, St Andrew's Centre for plastic surgery, Broomfield Hospital, Chelmsford, Essex, United Kingdom.
Hand Surgery Department, St Andrew's Centre for plastic surgery, Broomfield Hospital, Chelmsford, Essex, United Kingdom.
Hand Surg Rehabil. 2017 Jun;36(3):208-214. doi: 10.1016/j.hansur.2017.03.001. Epub 2017 Mar 30.
We report the results of treatment by division and proximal relocation of 44 painful, scar-tethered cutaneous nerves of the upper limb in 22 patients. In all patients, neuropathic pain had developed either following surgery or trauma, but without apparent direct nerve injury. The mean duration of pain symptoms prior to relocation was 17 (range 7-44) months. Adequate treatment involved relocation of 35 nerves at a first operation for each of the 22 patients, with six patients requiring further surgery to relocate 9 nerves. At a minimum follow-up of 6 months, nerve relocation resulted in complete resolution of all forms of pain at the primary site in 21/22 (95%) patients and no pain or hypersensitivity at the final relocation site in 19 of the 22 patients (86%).
我们报告了22例患者上肢44条疼痛性、瘢痕束缚性皮神经进行分支及近端移位治疗的结果。所有患者的神经性疼痛均在手术或创伤后出现，但无明显直接神经损伤。移位术前疼痛症状的平均持续时间为17个月（范围7 - 44个月）。22例患者中，有35条神经在首次手术时进行了移位，6例患者需要进一步手术以移位9条神经。在至少6个月的随访中，神经移位使21/22（95%）的患者原发部位的所有疼痛形式完全缓解，22例患者中有19例（86%）在最终移位部位无疼痛或超敏反应。
