世界最新医学信息文摘（连续型电子期刊）
世界最新醫學信息文摘（連續型電子期刊）
세계최신의학신식문적（련속형전자기간）
World Latest Medicine Information
2015年
10期
115-115
,共1页
手指残端痛性神经瘤%显微外科技术%神经吻合
手指殘耑痛性神經瘤%顯微外科技術%神經吻閤
수지잔단통성신경류%현미외과기술%신경문합
Finger stump pain of nueroma%Microsurgical technique%Nerve seam
目的：探讨显微外科技术在残端痛性神经瘤中的应用效果。方法：本组共33例38指，男26例31指，女7例7指，年龄17-52岁，平均31岁。均为外伤性截指，其中5例5指为顽固性痛性神经瘤。采用臂丛神经阻滞或指神经阻滞麻醉下，将两侧指神经断端作端端束膜缝合，或将该神经纵行劈开后自身作端端束膜缝合。结果：术后随访3个月-3年，所有病例均无复发，32例37指疼痛、触痛等症状完全消失，1例1指疼痛、触痛等症状明显减轻。结论：该方法疗效确切，值得临床推广应用。
目的：探討顯微外科技術在殘耑痛性神經瘤中的應用效果。方法：本組共33例38指，男26例31指，女7例7指，年齡17-52歲，平均31歲。均為外傷性截指，其中5例5指為頑固性痛性神經瘤。採用臂叢神經阻滯或指神經阻滯痳醉下，將兩側指神經斷耑作耑耑束膜縫閤，或將該神經縱行劈開後自身作耑耑束膜縫閤。結果：術後隨訪3箇月-3年，所有病例均無複髮，32例37指疼痛、觸痛等癥狀完全消失，1例1指疼痛、觸痛等癥狀明顯減輕。結論：該方法療效確切，值得臨床推廣應用。
목적：탐토현미외과기술재잔단통성신경류중적응용효과。방법：본조공33례38지，남26례31지，녀7례7지，년령17-52세，평균31세。균위외상성절지，기중5례5지위완고성통성신경류。채용비총신경조체혹지신경조체마취하，장량측지신경단단작단단속막봉합，혹장해신경종행벽개후자신작단단속막봉합。결과：술후수방3개월-3년，소유병례균무복발，32례37지동통、촉통등증상완전소실，1례1지동통、촉통등증상명현감경。결론：해방법료효학절，치득림상추엄응용。
Objective:To discuss microsurgical technique in the application of stump pain in neuroma effect. Methods:33 cases refers to 38 fingers, 26 cases of 31 fingers refers to male, female 7 to 7 cases, aged 17 to 52 years old, an average of 31.Both in traumatic refers to, with 5 5 for intractable pain of glioma.Using brachial plexus anesthesia or nerve block anesthesia, on both sides will refers to the nerve membrane suture end for end to end beam, or will make an end to end, a longitudinal split itself af-ter the nerve bundle membrane. Results:postoperative follow-up of 3 months to 3 years, all cases had no relapse, 32 cases of 37 refers to the complete resolution of symptoms such as pain, tenderness, 1 case 1 symptoms relieve pain, tenderness. Conclusion:this method curative effect, worth clinical application.
