疼痛创伤性外周神经神经瘤管理的当前概念
Ellen Y Lee1, Mimi C Sammarco, Robert J Spinner
1From the Department of Hand and Reconstructive Microsurgery, National University Health System, Singapore (Lee), the Department of Orthopedic Surgery (Sammarco), the Department of Neurosurgery (Spinner), Mayo Clinic, Rochester, MN, and the Division of Hand and Microvascular Surgery, Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN (Shin).
The Journal of the American Academy of Orthopaedic Surgeons
|January 15, 2025
概括
疼痛的神经瘤,通常是由外围神经损伤引起的,导致严重的残疾. 治疗需要一个全面的计划,以解决疼痛生成器和心理社会因素,以获得最佳的患者结果.
科学领域:
- 神经学 神经学
- 再生医学是一种再生医学.
背景情况:
- 疼痛的神经瘤是由外围神经损伤引起的,当再生的轴突缺少远端点时.
- 机械敏感性和神经纤维交叉导致神经瘤疼痛在60%的病例中.
研究的目的:
- 概述临床评估,管理策略和疼痛神经瘤的治疗计划.
主要方法:
- 临床评估包括病史,体检和诊断成像.
- 非手术选择包括药物,脱敏,注射和疼痛治疗.
- 手术干预侧重于神经修复,移植或重定向,当保守措施失败时.
主要成果:
- 疼痛的神经瘤会导致严重的残疾和功能障碍.
- 为了有效的管理,需要采用多式联运方式.
- 个性化治疗计划对于优化患者的治疗结果至关重要.
结论:
- 疼痛神经瘤的综合管理需要解决病理,疼痛发生器和心理社会因素.
- 个性化治疗计划是改善患者功能和生活质量的关键.
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