John Albin A, Rossettie Stephen, Rafael John, Cox Cameron T, Ducic Ivica, Mackay Brendan J
Department of Orthopaedic Surgery, Texas Tech University Health Sciences Center, Lubbock, Texas.
Washington Nerve Institute, McLean, Virginia.
Arch Plast Surg. 2022 May 27;49(3):427-439. doi: 10.1055/s-0042-1748658. eCollection 2022 May.
Peripheral nerve injuries (PNIs) often present with variable symptoms, making them difficult to diagnose, treat, and monitor. When neurologic compromise is inadequately assessed, suboptimal treatment decisions can result in lasting functional deficits. There are many available tools for evaluating pain and functional status of peripheral nerves. However, the literature lacks a detailed, comprehensive view of the data comparing the clinical utility of these modalities, and there is no consensus on the optimal algorithm for sensory and pain assessment in PNIs. We performed a systematic review of the literature focused on clinical data, evaluating pain and sensory assessment methods in peripheral nerves. We searched through multiple databases, including PubMed/Medline, Embase, and Google Scholar, to identify studies that assessed assessment tools and explored their advantages and disadvantages. A total of 66 studies were selected that assessed various tools used to assess patient's pain and sensory recovery after a PNI. This review may serve as a guide to select the most appropriate assessment tools for monitoring nerve pain and/or sensory function both pre- and postoperatively. As the surgeons work to improve treatments for PNI and dysfunction, identifying the most appropriate existing measures of success and future directions for improved algorithms could lead to improved patient outcomes.
周围神经损伤（PNIs）通常表现出多种症状，这使得它们难以诊断、治疗和监测。当神经功能损害评估不充分时，欠佳的治疗决策可能导致持久的功能缺陷。有许多可用于评估周围神经疼痛和功能状态的工具。然而，文献中缺乏对这些方法临床效用比较数据的详细、全面的观点，并且对于PNIs感觉和疼痛评估的最佳算法也没有共识。我们对专注于临床数据的文献进行了系统综述，评估周围神经的疼痛和感觉评估方法。我们检索了多个数据库，包括PubMed/Medline、Embase和谷歌学术，以识别评估评估工具并探讨其优缺点的研究。总共选择了66项研究，这些研究评估了用于评估PNI后患者疼痛和感觉恢复的各种工具。本综述可作为术前和术后选择最合适的评估工具来监测神经疼痛和/或感觉功能的指南。随着外科医生努力改进PNI和功能障碍的治疗方法，确定最适当的现有成功衡量标准以及改进算法的未来方向可能会改善患者的治疗效果。
