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皮瓣覆盖用于治疗手臂创伤后神经痛。

Flap coverage for post-traumatic nerve pain in the arm.

作者信息

Holmberg J, Ekerot L, Sälgeback S

出版信息

Scand J Plast Reconstr Surg. 1986;20(3):285-8. doi: 10.3109/02844318609004487.

DOI:10.3109/02844318609004487
PMID:3589510
Abstract

14 patients with painful neuroma, skin hyperesthesia or neuralgic rest pain were followed up (mean 20 months) after excision of skin and scar, neurolysis and coverage with pedicled or free flaps. Painful neuroma had improved in 3 of 7 patients. Skin hyperesthesia had been eliminated in 8 of 11 patients, and had improved in 3. Neuralgic rest pain had been eliminated in 5 of 6 patients, and was partially relieved in one. It is concluded that painful neuroma in continuity is not relieved by flap coverage, whereas skin hyperesthesia and neuralgic rest pain are appropriate for this type of treatment.

摘要

对14例患有疼痛性神经瘤、皮肤感觉过敏或神经痛性静息痛的患者,在切除皮肤和瘢痕、进行神经松解并采用带蒂或游离皮瓣覆盖后进行了随访(平均20个月)。7例疼痛性神经瘤患者中有3例病情改善。11例皮肤感觉过敏患者中有8例症状消除,3例有所改善。6例神经痛性静息痛患者中有5例症状消除,1例部分缓解。结论是,连续性疼痛性神经瘤通过皮瓣覆盖无法缓解,而皮肤感觉过敏和神经痛性静息痛适合这种治疗方式。

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