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目的讨论从预防神经瘤的发生入手治疗外伤性神经瘤性残端痛。方法１９８６年起，在切除残端神经瘤后，采用静脉桥接法（７７例）、神经原位移植法（７３例）、两神经残端直接缝合法（３２例）等重新建立神经连续性的方法，治疗上臂残端及手指残端神经瘤性残端痛１８２例。结果术后平均随访１年，不管用何种方法，大部分病例的症状消失或明显改善，优良率在９０％以上。１０％病例因指（肢）残端皮肤条件差而疗效欠佳。结论神经瘤性残端痛的原因，是残端神经失去了正常的连续性，形成神经瘤而引起的。重新建立残端神经连续性的各种手术，无论从预防还是治疗的观点出发，应该都是合理而有效的。
Objective To discuss the treatment of traumatic neuromatous stump pain from the prevention of the occurrence of neuroma. Methods From 1986 onwards, after the removal of stump neuroma, we used the method of venous bridging (77 cases), neurograft (73 cases) and direct stitching of the two nerves (32 cases) to establish the neural continuity Methods To treat 182 cases of upper neoplasm and finger stump neuromatoid stump pain. Results After an average follow-up of 1 year, no matter what method was used, the symptoms disappeared or significantly improved in most cases, the excellent and good rate was over 90%. In 10% of the cases, poor outcome was due to poor skin condition of the stump. Conclusions The reason of neuromatous stump pain is that the stump nerve has lost its normal continuity and formed neuroma. Re-establish the continuity of stump nerve surgery, whether from the prevention or treatment point of view, should be reasonable and effective.