【摘要】 目的:探讨一种治疗双侧痛性指固有神经瘤的手术新方法。方法:双侧痛性指固有神经瘤30例患者,11例采用神经移植神经弓式的双端侧吻合,10例采用神经移植端-端吻合,9例采用直接端-端吻合。结果:术后随访24.5~52个月,平均38个月。双端侧吻合组指感觉测定为S(4.35±1.98)级,高于另2组(P=0.027);两点分辨觉为(5.0±0.7)mm,小于另2组(P=0.022);3组Burchiel疗效差异有统计学意义(Z=-1.733,P=0.020)。结论:神经移植双端侧神经吻合的方法可有效治疗双侧痛性指固有神经瘤,消除患指疼痛、恢复指腹触摸灵敏性。更多还原

【Abstract】 Objective To introduce a new method in treating refractory pain caused by double digital neuroma. Methods Thirty patients with bilateral acute proper digital nerve injuries were admitted. Eleven patients underwent double end-to-side neuroanastomosis, 10 patients underwent nerve graft with end-to-end neuroanastomosis, while other 9 patients underwent directly end-to-end neuroanastomosis. Results All 30 patients were successfully followed up for 24.5 to 52 months, with an average of 38.2 months. In double end-to-side neuroanastomosis group, the average result of sensation measurement was S(4.35±1.98) which was significantly higher than those of the other 2 groups(P=0.027); the average result of two point discrimination was (5.0 ± 0.7) mm which was significantly lower than those of the other 2 groups(P=0.022). According to Burchiels evaluation criteria, there were differences in results of pain relief in the 3 groups(Z=-1.733P=0.020). Conclusion Refractory pain caused by double digital neuroma can be effectively treated by double end-to-side neuroanastomosis, which can eliminate painness and restore sensation of wounded fingers.更多还原