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主要截肢残端周围神经瘤的治疗。

Treatment of neuromas about a major amputation stump.

作者信息

Wood V E, Mudge M K

出版信息

J Hand Surg Am. 1987 Mar;12(2):302-6. doi: 10.1016/s0363-5023(87)80297-6.

DOI:10.1016/s0363-5023(87)80297-6
PMID:3559094
Abstract

In five patients, with intractable pain from neuromas that developed after amputations at the wrist or forearm, the neuromas were resected and the median nerve anastamosed to the ulnar nerve under the pronator teres muscle. In one patient, the anterior interosseous nerve was also anastamosed to the superficial radial nerve under the muscles of the forearm. Patients reported an 80% to 90% reduction in pain. This procedure is limited to patients in which all other treatments have failed.

摘要

对于5例因腕部或前臂截肢后形成神经瘤而遭受顽固性疼痛的患者,切除神经瘤,并在旋前圆肌下将正中神经与尺神经吻合。1例患者还在前臂肌肉下将骨间前神经与桡神经浅支吻合。患者报告疼痛减轻了80%至90%。该手术仅限于所有其他治疗均失败的患者。

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