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采用神经外瘢痕切除及皮瓣覆盖治疗上肢创伤后神经痛。

Post-traumatic neuralgia in the upper extremity treated with extraneural scar excision and flap cover.

作者信息

Holmberg J, Ekerot L

机构信息

Department of Hand Surgery, Allmänna Sjukhuset, Malmö, Sweden.

出版信息

J Hand Surg Br. 1993 Feb;18(1):111-4. doi: 10.1016/0266-7681(93)90207-v.

DOI:10.1016/0266-7681(93)90207-v
PMID:8436845
Abstract

19 patients with neuralgia in the upper limb after surgical or non-surgical trauma to peripheral nerves were treated by excision of the extraneural scar and surrounding hypersensitive skin and application of free or pedicle flaps. The subcutaneous fat of the flaps was wrapped around the affected nerves. After a mean follow-up time of 5.8 years the patients were sent a questionnaire. Only one patient considered herself cured, six were almost cured and seven improved. Two patients were unchanged and three worse. The results after three to four months appeared stable.

摘要

19例因周围神经手术或非手术创伤后出现上肢神经痛的患者,接受了神经外瘢痕及周围过敏皮肤切除术,并应用了游离或带蒂皮瓣。皮瓣的皮下脂肪包裹在受累神经周围。平均随访5.8年后,向患者发送了问卷。只有1例患者认为自己已治愈,6例几乎治愈,7例有所改善。2例患者病情无变化,3例恶化。三到四个月后的结果似乎稳定。

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