Department of Physical Medicine & Rehabilitation, Indiana University School of Medicine, Indianapolis, IN, USA.
NeuroRehabilitation. 2020;47(3):315-325. doi: 10.3233/NRE-208005.
Acquired limb loss, whether from accident or amputation, occurs with an incidence of greater than 175,000 per year in the United States. Current prevalence is estimated at greater than 1.5 million and is expected to double within 30 years. While many patients with amputations may have no significant pain or sensory issues after healing from the initial loss, one-quarter to one-half of patients may have ongoing difficulties with residual limb pain, phantom limb pain, or phantom limb sensation. This review explores the potential etiologies of those symptoms, as well as a variety of treatment options that a practitioner may consider when approaching this condition.
在美国,每年因意外或截肢而导致的获得性肢体丧失的发生率超过 175000 例。目前的患病率估计超过 150 万例,预计在 30 年内将翻一番。虽然许多截肢患者在最初的丧失后愈合过程中可能没有明显的疼痛或感觉问题,但四分之一到一半的患者可能会持续存在残肢痛、幻肢痛或幻肢感的问题。本综述探讨了这些症状的潜在病因,以及当医生处理这种情况时可能会考虑的各种治疗选择。