Rabow Lennart
Department of Neurosurgery, University Hospital, S-901 85 UmeåSweden.
Pain. 1987 Oct;31(1):93-98. doi: 10.1016/0304-3959(87)90010-8.
Twenty-three patients with neuralgic pain (mean duration 3 years) were treated with crushing instead of sectioning the peripheral nerve. There was immediate relief of pain in 19 patients (83%). With the return of skin sensation the pain recurred after 3-4 months in 4 patients and within 2.5 years in another 3 patients. Twelve (52%) of the patients felt no pain at follow-up after 3-6 years. Eight of the 12 patients (67%) who were free of pain at follow-up were still anaesthetic in the area; pain had returned in 6 of the 10 patients (60%) with normal skin sensation. There were no cases of postoperative deafferentation pain, and those 4 patients who did not experience any relief after nerve crush all had a restitutio ad integrum.
23例患有神经痛（平均病程3年）的患者接受了外周神经挤压术而非切断术治疗。19例患者（83%）疼痛立即缓解。随着皮肤感觉恢复，4例患者在3 - 4个月后疼痛复发，另外3例患者在2.5年内疼痛复发。12例患者（52%）在3 - 6年随访时无疼痛。随访时无痛的12例患者中有8例（67%）该区域仍感觉缺失；皮肤感觉正常的10例患者中有6例（60%）疼痛复发。无术后去传入性疼痛病例，神经挤压后未缓解的4例患者均完全恢复。
