Wall R, Novotny-Joseph P, Macnamara T E
South Med J. 1985 Jan;78(1):34-6. doi: 10.1097/00007611-198501000-00009.
Phantom sensation and phantom limb pain are two recognized sequelae of limb amputation. In most previous surveys, amputations were done for arteriosclerotic or trauma related conditions. We studied 25 patients who had lower extremity amputation for neoplasia. In studying the features of pain before and after amputation, we found phantom limb pain in cancer patients similar in presentation and description to that in noncancer amputees. There appeared to be no correlation between the severity of each episode of phantom pain and the overall effect of the pain on the patient's life. The quality and location of the phantom pain did not resemble the preamputation pain. We recommend a multidisciplinary approach to treatment.
幻肢感觉和幻肢痛是肢体截肢后两种公认的后遗症。在以往的大多数调查中，截肢是针对动脉硬化或创伤相关疾病进行的。我们研究了25例因肿瘤而进行下肢截肢的患者。在研究截肢前后的疼痛特征时，我们发现癌症患者的幻肢痛在表现和描述上与非癌症截肢者相似。每次幻肢痛发作的严重程度与疼痛对患者生活的总体影响之间似乎没有关联。幻肢痛的性质和部位与截肢前的疼痛不同。我们建议采用多学科方法进行治疗。
