目的 :应用自体指神经原位移植端侧嵌入缝接法预防和治疗痛性神经瘤。方法 :采用自行设计的自体指神经原位移植端侧嵌入缝接法 ,急诊一期修复指神经的连续性预防神经瘤的形成 2 7例 ,二期切除神经瘤后重建指神经的连续性治疗痛性神经瘤 9例。结果 :术后随访 9～ 2 3个月 ,一期均未出现残端痛 ,二期有 8例症状体征完全消失 ,1例自觉疼痛明显减轻。结论 :自体指神经原位移植端侧嵌入缝接法能够预防和治疗痛性神经瘤 OBJECTIVE: To prevent and treat painful neuroma by end-sutural in situ autograft transplantation. Methods: Autologous finger autografts were used to implant end-to-end sutures. Emergency repair refers to the continuity of the nerve to prevent the formation of neuroma. Twenty-seven cases of secondary neurosurgery were reconstructed after secondary excision of neuromas Painful neuroma in 9 cases. Results: All the patients were followed up for 9 to 23 months. No stump pain was found in the first stage. Eight of the symptoms and signs of the second stage disappeared completely. One case of conscious pain was relieved. CONCLUSIONS: Autologous finger autografting end-suture insertion can prevent and treat painful neuroma