Langeveld Mirte, Hundepool Caroline A, Zuidam J M
Erasmus MC, afd. Plastische, Reconstructieve en Handchirurgie, Rotterdam.
Contact: Mirte Langeveld (
Ned Tijdschr Geneeskd. 2023 Mar 16;166:D6839.
Peripheral neuromas are a prevalent problem following nerve injury or certain surgical interventions like limb amputation. It is important to consider a peripheral neuroma when a patient experiences pain in the innervation area of a peripheral sensory or mixed nerve (branch), especially following trauma or amputation. Adequate recognition of a painful neuroma is crucial to treat patients satisfactorily for their invalidating and chronic symptoms. We want to emphasize that surgical intervention can be an effective and permanent treatment for symptomatic neuromas. The standard surgical treatment is neuroma excision and burying of the nerve stump in adjacent muscle. However, there is a shift towards new and active techniques like Targeted Muscle Reinnervation, of which future comparative research will have to demonstrate whether it is more effective in treating peripheral neuroma pain than conventional surgery.
周围神经瘤是神经损伤或某些外科手术（如肢体截肢）后常见的问题。当患者在周围感觉神经或混合神经（分支）的支配区域出现疼痛时，尤其是在创伤或截肢后，考虑周围神经瘤很重要。充分认识疼痛性神经瘤对于有效治疗患者的致残性慢性症状至关重要。我们想强调的是，手术干预对于有症状的神经瘤可以是一种有效且持久的治疗方法。标准的手术治疗是神经瘤切除并将神经残端埋入相邻肌肉。然而，目前正朝着新的积极技术（如靶向肌肉再支配）转变，未来的比较研究将必须证明它在治疗周围神经瘤疼痛方面是否比传统手术更有效。
