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手部疼痛性神经瘤的外科治疗结果

Results of surgical treatment of painful neuromas of the hand.

作者信息

Laborde K J, Kalisman M, Tsai T M

出版信息

J Hand Surg Am. 1982 Mar;7(2):190-3. doi: 10.1016/s0363-5023(82)80086-5.

DOI:10.1016/s0363-5023(82)80086-5
PMID:7069175
Abstract

The surgical treatment of 50 patients with 101 neuromas over the last 10 years is reported. Simple excision and implantation into local muscle resulted in an unacceptable reoperative rate of 65%. Ray amputation for symptomatic neuromas resulted in the highest reoperation rate but resulted in little or no subjective improvement. There appears to be a correlation between delayed healing after the initial injury and the severity of neuroma symptoms. Dorsal translocation of the neuroma consistently resulted in decreased sensitivity without longterm recurrence.

摘要

报告了过去10年中对50例患者的101个神经瘤的手术治疗情况。单纯切除并植入局部肌肉导致不可接受的再次手术率达65%。对有症状的神经瘤进行截指术导致最高的再次手术率,但几乎没有或没有主观改善。初始损伤后愈合延迟与神经瘤症状的严重程度之间似乎存在关联。神经瘤背侧移位始终导致感觉减退且无长期复发。

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