Phantom limb pain

Jonathan N Chang, R. Rastogi
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Abstract

Phantom limb phenomenon (PLP) almost occurred on every patient who suffered ampu- tation surgery.The incidence of phantom limb pain was reported about 60%-70% of the PLP.The etio- pathogenesis of phantom limb pain remains unclear.However,both peripheral and central neural mecha- nisms have been described,along with superimposed psychological mechanisms.Recently,cortical reorgani- zation after amputation is recognized as another important central neural mechanism of phantom limb pain. While numerous treatments have been described,there is a little evidence supporting drug therapy,nerve block,surgery techniques,and psychological therapy.Until today,there is no unified recognition about the etiopathogenesis and treatments of phantom limb pain.
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幻肢痛
幻肢现象(PLP)几乎是所有截肢患者都会出现的现象。幻肢痛的发生率约占PLP的60%-70%。幻肢痛的发病机制尚不清楚。然而,外周和中枢神经机制以及叠加的心理机制都已被描述。近年来,截肢后皮层重组被认为是幻肢痛的另一重要中枢神经机制。虽然有许多治疗方法被描述,但很少有证据支持药物治疗、神经阻滞、手术技术和心理治疗。直到今天,幻肢痛的发病机制和治疗方法还没有统一的认识。
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