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首页> 外文期刊>Journal of plastic, reconstructive & aesthetic surgery: JPRAS >The incidence of symptomatic neuroma in amputation and neurorrhaphy patients
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The incidence of symptomatic neuroma in amputation and neurorrhaphy patients

机译：截肢和神经出血患者中症状性神经瘤的发生率

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Purpose The incidence of symptomatic neuroma in finger nerve injuries varies widely in the literature. In this retrospective study, we evaluated the incidence of symptomatic neuroma after repair of digital nerve injuries (neurorrhaphy) and after amputation of one or more fingers. We also determined the need for re-operation on symptomatic neuroma patients. Methods In a retrospective study, we collected data from medical files. All patients who were treated for a hand trauma in the emergency department during the last 10 years were included. We gathered data on the presence of symptomatic neuroma and re-operation of the patients. Results In our database, 583 people had a peripheral nerve injury of whom 177 people had an amputation. The incidence of digital nerve injury without amputation followed by neurorrhaphy was 1%. In digital nerve injuries with amputation the incidence was 7.8%, which is significantly higher than after digital nerve injuries without amputation. Conclusions People with an amputation injury have significantly more symptomatic neuroma than people who undergo neurorrhaphy. People who have a symptomatic neuroma after digital nerve injuries have been operated significantly more than people who have a non-symptomatic neuroma or no neuroma at all. This information can be of help when treating digital nerve injuries. Type of study/Level of evidence (LOE): Prognostic.
机译：目的文献中指状神经瘤在手指神经损伤中的发生率差异很大。在这项回顾性研究中，我们评估了指状神经损伤（神经性腹泻）修复后和一根或多根手指截肢后症状性神经瘤的发生率。我们还确定了对有症状的神经瘤患者进行再次手术的必要性。方法在一项回顾性研究中，我们从医疗档案中收集了数据。包括最近10年在急诊科接受过手部创伤治疗的所有患者。我们收集了有关症状神经瘤的存在和患者再手术的数据。结果在我们的数据库中，有583人患有周围神经损伤，其中有177人被截肢。未截肢但伴有神经性腹泻的指神经损伤发生率为1％。在有截肢的数字神经损伤中，其发生率为7.8％，这明显高于没有截肢的数字神经损伤后的发生率。结论截肢损伤患者的症状性神经瘤明显多于神经出血患者。数字神经损伤后有症状神经瘤的人比没有症状或根本没有神经瘤的人接受手术的人数要多得多。该信息在治疗手指神经损伤时可能会有帮助。研究类型/证据水平（LOE）：预后。

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