A comparative study of two methods of surgical treatment for painful neuroma
A comparative study of two methods of surgical treatment for painful neuroma
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DOI：
10.1302/0301-620x.91b6.22145
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发表时间：
2009-06-01
影响因子：
--
通讯作者：
Kalbermatten, D. F.
中科院分区：
文献类型：
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作者：
Balcin, H.;Erba, P.;Kalbermatten, D. F.
创伤性神经损伤后可能会出现痛性神经瘤。我们进行了一项双盲对照试验，其中20例下肢疼痛神经瘤患者被随机分配到切除神经瘤并将近端神经残端移位到肌肉组织或邻近的皮下静脉中进行治疗。移位到静脉中导致疼痛强度减轻，通过视觉模拟评分(5.8(SD 2.7)vs 3.8(SD 2.4)；p<；0.01)，并通过McGill疼痛评分(33(SD 18)vs 14(SD 12)；p<；0.01)；0.01)。这与活动水平的提高(p<；0.01)和功能的改善(p<；0.01)有关。神经残端移位到相邻的静脉应该比移位到肌肉中更好。
Painful neuromas may follow traumatic nerve injury. We carried out a double-blind controlled trial in which patients with a painful neuroma of the lower limb (n = 20) were randomly assigned to treatment by resection of the neuroma and translocation of the proximal nerve stump into either muscle tissue or an adjacent subcutaneous vein.Translocation into a vein led to reduced intensity of pain as assessed by visual analogue scale (5.8 (SD 2.7) vs 3.8 (SD 2.4); p < 0.01), and improved sensory, affective and evaluative dimensions of pain as assessed by the McGill pain score ( 33 ( SD 18) vs 14 ( SD 12); p < 0.01). This was associated with an increased level of activity ( p < 0.01) and improved function ( p < 0.01).Transposition of the nerve stump into an adjacent vein should be preferred to relocation into muscle.