摘要
Guyon氏管综合征临床少见,且多为囊肿、骨折等引起,构成该管本身的组织结构增生肥大导致的神经受压则更为少见。我们收治6例的病因为增厚的豆钩韧带和致密的纤维束压迫尺神经深支,其中2例还伴有肥大的豌豆骨端挤压尺神经干部。6例均有手尺侧感觉减退及4、5指轻度爪状手畸形,肌电图示尺神经受损。全部病例采取手术治疗,5例疗效满意。
Abstract Six cases of Guyon canal syndrome were resulted from the compression of the deep branch of the ulnar nerve by of them also had the compression of the ulnar nerve proximal to the bifurcation by the hyperostotic pisiform bone.Five cases had occupational tendency.The operative approach included neurolysis,resection of thickened ligament and hypertrophic osteoplaque,and unroofing of the pisohamatic hiatus.Five cases yielded good clinical recovery.
出处
《中华手外科杂志》
CSCD
1995年第1期34-36,共3页
Chinese Journal of Hand Surgery