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目的 回顾 10年治疗 2 6 84例多发性趾间神经瘤的临床效果。方法 趾间神经瘤的诊断依据是趾间痛 ,跖骨无压痛 ,趾跖关节活动也无痛 ,前足压挤试验可引起趾间向远端串痛。 2 6 84例多发性趾间神经瘤中 ,2 6 36例合并有外翻 (HAV)。保守治疗 15 86例 ,手术治疗 10 98例 ( 96 9例同时在第 2、3趾间隙切除神经瘤 ,12 9例分 2次进行 )。结果 平均随访 4年 ,除 7例手术治疗的病人疼痛未消失 ,其余都疼痛消失 ,疗效满意。结论 多发性趾间神经瘤多并发有外翻 ,保守疗法可以治愈。当保守治疗无效时 ,可用手术疗法切除
Objective To review the clinical results of 2 844 cases of multiple interphalangeal neuromas treated in 10 years. Methods The diagnosis of interphalangeal neuroma is based on the pain between the toes, metatarsal tenderness, toe plantar joint activity is also painless, forefoot compression test can cause the toes to the distal string pain. Of 2684 cases of multiple interphalangeal neuromas, 2636 cases were complicated with ectopic turn (HAV). 1586 cases were treated conservatively, and 10 98 cases were treated surgically (96 9 cases were performed excision of neuroma at the second and third interphalangeal space simultaneously, and 12 9 cases were performed in 2 stages). Results The average follow-up of 4 years, except for 7 cases of surgical treatment of patients with pain did not disappear, the remaining pain disappeared, the effect was satisfactory. Conclusions Multiple interphalangeal neuromas have multiple ectasia and conservative treatment can be cured. When conservative treatment is invalid, surgical resection can be used