Department of Surgery, Institute for Plastic Surgery, Southern Illinois University School of Medicine, 747 North Rutledge, Suite 357, Baylis Building, Springfield, IL 62702, USA.
Institute for Plastic Surgery, Southern Illinois University School of Medicine, 747 North Rutledge, Suite 357, Baylis Building, Springfield, IL 62702, USA.
Clin Plast Surg. 2020 Apr;47(2):279-283. doi: 10.1016/j.cps.2019.12.008. Epub 2020 Jan 31.
Neuroma formation occurs because of some degree of nerve injury followed by improper intrinsic nerve repair. The cause of neuroma pain is incompletely understood, but appears to be multifactorial in nature, including local and system changes. A comprehensive understanding of nerve anatomy, injury, and repair techniques should be used when dealing with neuroma formation and its physical manifestations. Diagnosis of neuroma is clinically characterized by pain associated with scar, altered sensation within the given nerve distribution, and a Tinel sign. The pathophysiology of neuroma formation is reviewed.
神经瘤的形成是由于一定程度的神经损伤,随后是不当的内在神经修复。神经瘤疼痛的原因尚不完全清楚,但本质上似乎是多因素的,包括局部和系统的变化。在处理神经瘤的形成及其物理表现时,应该综合了解神经解剖、损伤和修复技术。神经瘤的诊断临床上表现为与瘢痕相关的疼痛、给定神经分布内感觉改变和 Tinel 征。本文回顾了神经瘤形成的病理生理学。