Novak C B, van Vliet D, Mackinnon S E
Division of Plastic and Reconstructive Surgery, Washington University School of Medicine, St. Louis, Missouri 63110, USA.
J Reconstr Microsurg. 1995 May;11(3):175-7. doi: 10.1055/s-2007-1006527.
This study evaluated the long-term subjective outcomes of 19 patients (13 females, six males), following surgical resection and proximal transposition of lower-extremity neuromas. The patient mean age was 49 years (S.D.: 18), with a mean post-injury time of 8 years and post-surgery follow-up of 4 years. Thirteen patients reported symptomatic improvement in pain, and six reported no improvement. Of ten subjects who were unemployed prior to surgery, two returned to work and four retired postoperatively. Preoperatively, 13 patients used analgesic medication and postoperatively, eight reported taking less medication; four had completely stopped taking pain medication. Symptomatic pain relief apparently can be achieved with surgical management of lower-extremity neuromas.
本研究评估了19例患者（13例女性，6例男性）在下肢神经瘤手术切除及近端移位后的长期主观结果。患者平均年龄为49岁（标准差：18），受伤后平均时间为8年，术后随访4年。13例患者报告疼痛症状有所改善，6例报告无改善。术前10名失业患者中，2例术后重返工作岗位，4例退休。术前，13例患者使用止痛药物，术后，8例报告用药减少；4例已完全停止服用止痛药物。下肢神经瘤的手术治疗显然可以实现症状性疼痛缓解。
