Neuromas as the cause of pain in the residual limbs of amputees. An ultrasound study
Neuromas as the cause of pain in the residual limbs of amputees. An ultrasound study
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DOI：
10.1016/j.crad.2016.05.022
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发表时间：
2016-10-01
影响因子：
2.6
通讯作者：
O'Reilly, M. J.
中科院分区：
文献类型：
--
作者：
O'Reilly, M. A. R.;O'Reilly, P. M. R.;O'Reilly, M. J.
目的：探讨神经瘤的形态，并确定的差异，如果有的话，无症状和有症状的神经瘤using ultrasound.MATERIALS AND METHODS：80例有症状的神经瘤被列入本回顾性审查。进行了高分辨率超声检查。传感器压力允许对有症状和无症状的神经瘤进行实时分析。疼痛的定量评估由患者分配的疼痛评分为0，1，2，或3，每个neuromages.RESULTS：一百五十九神经瘤被确定在总数。53例神经瘤无症状（疼痛评分= 0），54例记录了非常严重的疼痛（疼痛评分= 3），16例神经瘤轻度疼痛（疼痛评分= 1），36例中度疼痛（疼痛评分= 2）。每例患者的平均神经瘤数量为1.98，每例患者的平均症状性神经瘤数量为1.3。疼痛评分与患者年龄、神经瘤体积、截肢类型和截肢后时间无相关性。结论：高分辨率超声可以区分无症状和有症状的神经瘤。患者年龄、截肢时间、截肢类型和神经瘤体积与疼痛无关。(C)2016年皇家放射科医师学院。由爱思唯尔有限公司出版。保留所有权利。
AIM: To explore the morphology of neuromas and to determine the differences, if any, between asymptomatic and symptomatic neuromas using ultrasound.MATERIALS AND METHODS: Eighty patients with symptomatic neuromas were included in this retrospective review. High-resolution ultrasound examination was performed. Transducer pressure allowed real-time analysis of both symptomatic and asymptomatic neuromas. Quantifiable assessment of pain by the patient assigned a pain score of 0, 1, 2, or 3, to each neuroma.RESULTS: One hundred and fifty-nine neuromas were identified in total. Fifty-three neuromas were asymptomatic (pain score = 0), very severe pain was recorded in 54 (pain score = 3), 16 neuromas were mildly painful (pain score = 1) and 36 were moderately painful (pain score = 2). The average number of neuromas per patient was 1.98, and the average number of symptomatic neuromas per patient was 1.3. There was no correlation between pain score and patient age, neuroma volume, amputation type, and time since amputation.CONCLUSIONS: High-resolution ultrasound can distinguish between asymptomatic and symptomatic neuromas. Patient age, time since amputation, the type of amputation, and the neuroma volume were not related to the presence of pain. (C) 2016 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.