[小腿德隆神经减压术治疗多发性神经病的回顾性长期结果]。

IF 0.4 4区 医学 Q4 SURGERY
Max V Meyer-Marcotty, Abduasalam Attabit, Vincent März, Peter M Vogt
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引用次数: 0

摘要

背景:多发性神经病患者通常会感到疼痛、麻痹和麻木,并有可能增加跌倒的风险和相应的并发症。在用尽所有保守治疗和药物治疗方法后,如果症状仍持续存在,Dellon 所描述的小腿神经减压术可使许多患者的不适症状得到改善。本文介绍了我们采用 Dellon 手术的长期结果:在这项回顾性研究中,我们纳入了 33 名糖尿病或特发性多发性神经病变患者,我们在 2011-2013 年期间为他们实施了小腿戴隆神经减压术。我们对 33 位患者中的 29 位进行了术后三个月的疼痛程度(根据数字评分量表 NRS 0-10)、麻痹、麻木、Hoffman-Tinel 征和 Semmes-Weinstein 单丝的调查。术后 88 个月(78-111 个月),我们对 33 位患者中的 20 位进行了问卷调查,询问他们目前的疼痛程度(NRS 0-10)、对术后效果的满意度(NRS 0-10,0=最满意,10=完全不满意)以及患者是否会向亲朋好友推荐该手术:1.术后三个月疼痛明显减轻,NRS 从 4.5 降至 2.2,(P=0.000)。2.术后三个月的麻木感明显减轻,从 84.8% 降至 24.2%(P=0.000)。 术后三个月的麻木感明显减轻,从 97% 降至 39%(P=0.000)。4.术后三个月灵敏度显著提高,从 91% 无灵敏度降至 28% 无灵敏度(P=0.000)。5.术后三个月,Hoffmann-Tinel 征明显改善,从 76% 降至 13%(P=0.000)。术后 88 个月,疼痛明显减轻,从术前平均 NRS 4.5 到术后 2.7(P=0.048)。术后 88 个月,65% 的患者会向家人和朋友推荐该手术,患者满意度很高(NRS 3、4):我们的长期研究结果表明,德隆神经减压术可明显、持久地减轻下肢疼痛并改善功能。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Retrospective Long-Term Results After Dellon's Nerve Decompression In The Lower Leg For Polyneuropathy].

Background: Patients affected by polyneuropathy often report pain, paraesthesia and numbness and are at risk of having an increased propensity to fall with the corresponding complications. In case of persistent symptoms after all conservative and medical treatment options have been exhausted, a nerve decompression in the lower leg as described by Dellon can lead to an improvement of the discomfort for many patients. This article presents our long-term results with Dellon's operation.

Methods: In this retrospective study, we included 33 patients with diabetic or idiopathic polyneuropathy in whom we performed Dellon's nerve decompression in the lower leg in the years 2011-2013. In 29 out of the 33 patients, we investigated the level of pain (according to the numeric rating scale NRS 0-10), paraesthesia, numbness, Hoffman-Tinel sign, and Semmes-Weinstein monofilaments three months postoperatively. 88 months postoperatively (range 78-111 months), we were able to contact 20 of the 33 patients with a questionnaire asking about their present pain level (NRS 0-10), satisfaction with the postoperative result (NRS 0-10, 0=most satisfied, 10=not satisfied at all) and whether the patients would recommend the surgical procedure to their friends or family.

Results: 1. Significant pain reduction three months postoperatively, NRS 4.5 to 2.2, (p=0.000). 2. Significant reduction of paraesthesia three months postoperatively from 84.8 to 24.2% (p=0.000) 3. Significant reduction of numbness three months postoperatively from 97% to 39% (p=0.000). 4. Significant improvement of sensitivity three months postoperatively from 91% no sensitivity to 28% no sensitivity (p=0.000). 5. Significant improvement of Hoffmann-Tinel sign three months postoperatively from 76% to 13% (p=0.000). 88 months postoperatively, we saw a significant pain reduction from an average preoperative pain level of NRS 4.5 to a postoperative pain level of 2.7 (p=0.048). 88 months postoperatively, 65% of the patients would recommend the surgical procedure to their family and friends, and patient satisfaction was high (NRS 3,4).

Conclusion: Our long-term results show that Dellon's nerve decompression in the lower extremities leads to a marked, lasting pain reduction and a functional improvement.

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来源期刊
CiteScore
1.00
自引率
16.70%
发文量
85
审稿时长
6-12 weeks
期刊介绍: In Originalarbeiten und Fallberichten finden Sie die neuesten Informationen über: Diagnostik Verfahrenswahl state of the art / neueste Techniken rekonstruktive Verfahren Behandlung infolge von Traumata oder OP Bewertung der Ergebnisse Klinische Forschung Interessante Darstellung der neuesten Erkenntnisse in Originalarbeiten und Fallberichten. Exzellent veranschaulicht durch ein klares Layout und reiche Bebilderung. Überzeugen Sie sich selbst! Organschaften Organ der Deutschsprachigen Arbeitsgemeinschaft für Handchirurgie, Deutschen Gesellschaft für Handchirurgie und Österreichischen Gesellschaft für Handchirurgie Organ der Deutschsprachigen Arbeitsgemeinschaft für Mikrochirurgie der peripheren Nerven und Gefäße Organ der Deutschen Gesellschaft der Plastischen, Rekonstruktiven und Ästhetischen Chirurgen
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