Сравнительные результаты лечения пациентов с хроническим болевым синдромом при травматическом поражении периферической нервной системы

Maria  Mudriiakova

doi:10.21638/spbu11.2022.302

Authors

Maria Mudriiakova Regional Clinical Hospital no. 3, 287, Pobedy pr., Chelyabinsk, 454091, Russian Federation https://orcid.org/0000-0001-5476-6421

DOI:

https://doi.org/10.21638/spbu11.2022.302

Abstract

Traumatic damage to the peripheral nervous system leads to long periods of inpatient treatment, disability of patients with disabilities to restore lost functions. After crossing the nerve trunk, nerve fibers re-grow from the center to the periphery, or an amputation neuroma forms on the proximal nerve process. When the nerve endings are irritated, pain appears by the type of electric current discharge, which flows from acute to chronic and persists for a long time. The study aims to improve the results of treatment of patients with chronic pain on the background of injury to the peripheral nervous system. The study is based on the analysis of the results of treatment by various methods of patients with chronic pain syndrome caused by traumatic damage to the peripheral nervous system. In the near and long-term follow-up periods, the analysis of neurophysiological parameters in patients with peripheral nervous system injury indicates a significant improvement compared to the initial data in both groups, especially in the group of proper patients in the form of an increase in the amplitude and speed of propagation of excitation along sensory fibers.

Keywords:

peripheral nervous system injury, chronic pain, nerve injury, nerve plastic surgery

Downloads

Download data is not yet available.

References

Литература

Живолупов С. А., Рашидов Н. А., Самарцев И. Н., Яковлев Е. В. Современные представления о регенерации нервных волокон при травмах периферической нервной системы // Вестник Российской военно-медицинской академии. 2013. Т. 43, № 3. С. 190 198.

Клинические рекомендации «Хирургическое лечение хронического нейропатического болевого синдрома» // Ассоциация нейрохирургов России. 2015. URL: https://ruans.org/Text/Guidelines/neuropathic_pain.pdf (дата обращения: 25.08.2022).

Берснев В. П., Кокин Г. С., Извекова Т. О. Практическое руководство по хирургии нервов.М.: Умный доктор, 2017. 568 с.

Beekman R. A novel points system to predict the prognosis of ulnar neuropathy at the elbow // Muscle and Nerve. 2017. Vol. 5, no. 55. P. 698–705.

Чуриков Л. И., Гайворонский А. И., Журбин Е. А., Декан В. С., Свистов Д. В., Алексеев Д. Е. Современные аспекты хирургии повреждений лучевого нерва // Вестник Российской военно-медицинской академии. 2016. Т. 56, № 4. С. 14–18.

Churokov L. I., Gaivaronski A. I., Savchuk A. N. Characteristics of the formation of variants of the anatomy of the radial nerve at the shoulder // Neuroscience and Behavioral Physiology. 2018. Vol. 48, no. 5.P. 577–582.

Башлачев М. Г., Евзиков Г. Ю., Парфенов В. А. Болевой синдром при компрессионной невропатии общего малоберцового нерва на уровне головки малоберцовой кости // Российский журнал боли. 2021. Т. 19, № 3. С. 26–30.

Swong K., Freeman D., McCoyd M. A., Ibrahim W., Nielsen M., Condon B., Prabhu V. Common peroneal nerve neuroplasty at lateral fibular neck: part I — Anatomy, clinical presentation and electrophysiology// Contemporary neurosurgery. 2017. Vol. 39, no. 12. P. 1–6.

Науменко Л. Ю., Доманский А. Н., Перепелица В. Ф. Хирургическое лечение больных с последствиями травматических повреждений сухожилий и нервов предплечья и кисти // Травма.2014. Т. 15, № 3. С. 72–75.

Башлачев М. Г., Евзиков Г. Ю., Парфенов В. А. Клинические проявления, диагностика и хирургическое лечение компрессионной невропатии общего малоберцового нерва на уровне головки малоберцовой кости // Неврология, нейропсихиатрия, психосоматика. 2021. Т. 13, № 1. С. 18–23.

References

Zhivolupov S. A., Rashidov N. A., Samartsev I. N. Modern ideas about the regeneration of nerve fibers in injuries of the peripheral nervous system. Bulletin of the Russian Military Medical Academy,2013,vol. 43, no. 3, pp. 190–198. (In Russian)

Clinical recommendations “Surgical treatment of neuropathic pain syndrome”: Russian conciliation document. Association of Neurosurgeons of Russia, 2015. Available at: https://ruans.org/Text/Guidelines/neuropathic_pain.pdf (accessed: 25.08.2022). (In Russian)

Bersnev V. P., Kokin G. S., Izvekova T. S. A practical guide to nerve surgery. Moscow, Umnyi doctor Publ., 2017, 568 p. (In Russian)

Beekman R. A novel points system to predict the prognosis of ulnar neuropathy at the elbow. Muscle and Nerve, 2017, vol. 5, no. 55, pp. 698–705.

Churikov L. I., Gaivoronsky A. I., Zhurbin E. A. Modern aspects of surgery of radial nerve injuries.Vestnik of Russian military medical Academy, 2016, no. 4, pp. 14–18. (In Russian)

Churokov L. I., Gaivaronski A. I., Savchuk A. N. Characteristics of the formation of variants of the anatomy of the radial nerve at the shoulder. Neuroscience and Behavioral Physiology, 2018, vol. 48,no. 5, pp. 577–582.

Bashlachev M. G., Evzikov G. Yu., Parfenov V. A. Pain syndrome in compression neuropathy of the common fibular nerve at the level of the fibular head. Rossiiskii zhurnal boli, 2021, vol. 3, no. 19,pp. 26–30. (In Russian)

Swong K., Freeman D., McCoyd M. A., Ibrahim W., Nielsen M., Condon B., Prabhu V. Common peroneal nerve neuroplasty at lateral fibular neck: part I — Anatomy, clinical presentation and electrophysiology. Contemporary neurosurgery, 2017, vol. 39, no. 12, pp. 1–6.

Naumenko L. Yu., Domansky A. N., Perepelitsa V. F. Surgical treatment of patients with the consequences of traumatic injuries of tendons and nerves of the forearm and hand. Travma, 2014,vol. 15, pp. 72–75. (In Russian)

Evzikov G. Yu., Bashlachev M. G., Parfenov V. A. Clinical manifestations, diagnosis, and surgical treatment of compression neuropathy of the common fibular nerve at the level of the fibular head.Nevrologiia, neiropsikhiatriia, psikhosomatika, 2021, vol. 13, no. 1, pp. 18–23. (In Russian)