CENTROCENTRAL ANASTOMOSIS OF THE PROXIMAL NERVE STUMP IN THE TREATMENT OF PAINFUL AMPUTATION NEUROMAS OF MAJOR NERVES
CENTROCENTRAL ANASTOMOSIS OF THE PROXIMAL NERVE STUMP IN THE TREATMENT OF PAINFUL AMPUTATION NEUROMAS OF MAJOR NERVES
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DOI：
10.3171/jns.1993.79.3.0331
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发表时间：
1993-09-01
影响因子：
4.1
通讯作者：
ALBERTPAMPLO, R
中科院分区：
文献类型：
--
作者：
BARBERA, J;ALBERTPAMPLO, R
术语“中央神经纤维变性”用于描述在切断神经近端残端的成对神经束组之间插入神经移植物的端对端连接。在22例下肢截肢后出现疼痛性终末神经瘤的患者中（坐骨神经上20例神经瘤，腓神经上2例），在切断的神经末端进行中央吻合术，以治疗传统保守治疗未改善的疼痛。随访1年，所有病例的典型神经瘤疼痛均消失，但4例仍有散发性弥漫性疼痛。在先前存在体模感觉的地方，未观察到变化。这里的结果与实验室结果一致，证明中央吻合后没有神经瘤形成。因此，该技术被推荐用于治疗疼痛性截肢神经瘤。
The term ''centrocentral anastomosis'' is, used to describe the end-to-end connection across interposed nerve grafts between paired fascicular groups of the proximal stump of a severed nerve. In 22 patients harboring a painful terminal neuroma following amputation of a lower limb (20 neuromas on the sciatic nerve and two, on the peroneal nerve), a centrocentral anastomosis was performed on the end of the sectioned nerve to treat pain that had not improved with conventional conservative treatment. Follow-up review at 1 year revealed that the typical neuroma pain had disappeared in all cases, although sporadic diffuse pain persisted in four. Where previous phantom sensation was present, no change was observed. The results presented here are consistent with laboratory findings demonstrating the absence of neuroma formation after centrocentral anastomosis. Therefore, this technique is recommended for the treatment of painful amputation neuroma.