Mechanical Allodynia Predicts Better Outcome of Surgical Decompression for Painful Diabetic Peripheral Neuropathy.
作者： Chenlong Liao , D. Nickerson , Massimiliano Visocchi , Min Yang , Pengfei Liu
关键词:
摘要: Background To determine the role of mechanical allodynia (MA) in predicting good surgical outcome for painful diabetic peripheral neuropathy (DPN). Materials and Methods Data 192 patients with DPN were collected this study, 148 44 control group. Both groups further divided into subgroups based on presence MA admission. Clinical evaluations including visual analog scale (VAS), Hospital Anxiety Depression Scale (HADS), nerve conduction velocity (NCV), high-resolution ultrasonography (cross-sectional area, CSA) performed preoperatively postoperatively. Results The levels VAS HADS results NCV CSA improved group ( p > 0.05). Furthermore, better pain reduction was achieved when compared those without Conclusions MA is proved to be a reliable predictor DPN.
thieme-connect.de参考文章(43)
A. Dellon, Vicki Muse, Nickerson Scott, , A positive Tinel sign as predictor of pain relief or sensory recovery after decompression of chronic tibial nerve compression in patients with diabetic neuropathy. Journal of Reconstructive Microsurgery. ,vol. 28, pp. 235- 240 ,(2012) , 10.1055/S-0032-1306371
A. Dellon, Vickie Muse, D. Nickerson, , Prevention of ulceration, amputation, and reduction of hospitalization: outcomes of a prospective multicenter trial of tibial neurolysis in patients with diabetic neuropathy. Journal of Reconstructive Microsurgery. ,vol. 28, pp. 241- 246 ,(2012) , 10.1055/S-0032-1306372
Vinay Chaudhry, James Russell, Allan Belzberg, Decompressive surgery of lower limbs for symmetrical diabetic peripheral neuropathy Cochrane Database of Systematic Reviews. ,(2008) , 10.1002/14651858.CD006152.PUB2
Diane C. Zelman, Nancy A. Brandenburg, Mugdha Gore, Sleep impairment in patients with painful diabetic peripheral neuropathy. The Clinical Journal of Pain. ,vol. 22, pp. 681- 685 ,(2006) , 10.1097/01.AJP.0000210910.49923.09
John Sessions, D. Scott Nickerson, Biologic Basis of Nerve Decompression Surgery for Focal Entrapments in Diabetic Peripheral Neuropathy Journal of diabetes science and technology. ,vol. 8, pp. 412- 418 ,(2014) , 10.1177/1932296814525030
D. Scott Nickerson, Andrew J. Rader, Nerve decompression after diabetic foot ulceration may protect against recurrence: a 3-year controlled, prospective analysis. Journal of the American Podiatric Medical Association. ,vol. 104, pp. 66- 70 ,(2014) , 10.7547/0003-0538-104.1.66
Juan Martin Valdivia Valdivia, Martin Weinand, Christopher T. Maloney, Andrew L. Blount, Arnold Lee Dellon, Surgical treatment of superimposed, lower extremity, peripheral nerve entrapments with diabetic and idiopathic neuropathy. Annals of Plastic Surgery. ,vol. 70, pp. 675- 679 ,(2013) , 10.1097/SAP.0B013E3182764FB0
C. Suzuki, I. Ozaki, M. Tanosaki, T. Suda, M. Baba, M. Matsunaga, Peripheral and central conduction abnormalities in diabetes mellitus Neurology. ,vol. 54, pp. 1932- 1937 ,(2000) , 10.1212/WNL.54.10.1932
Chenlong Liao, Wenchuan Zhang, Min Yang, Qiufeng Ma, Guowei Li, Wenxiang Zhong, Surgical Decompression of Painful Diabetic Peripheral Neuropathy: The Role of Pain Distribution PLoS ONE. ,vol. 9, pp. e109827- ,(2014) , 10.1371/JOURNAL.PONE.0109827
Babak Baravarian, Surgical Decompression for Painful Diabetic Peripheral Nerve Compression and Neuropathy: A Comprehensive Approach to a Potential Surgical Problem Clinics in Podiatric Medicine and Surgery. ,vol. 23, pp. 621- 635 ,(2006) , 10.1016/J.CPM.2006.05.003