摘要
目的探讨手术治疗上肢周围神经卡压综合征的临床疗效。方法1995年1月～2008年6月，对94例上肢周围神经卡压综合征患者通过手术神经松解，对肘管综合征的患者同时行尺神经肌内前置术。根据英国医学研究院颁布的感觉、运动分级标准评定疗效。结果本组71例获随访，随访时间6个月-4年，优31例，良25例，中10例，差5例。结论周围神经卡压综合征诊断明确后，若保守治疗无效，即应早期手术探查，彻底松解受压神经，术后效果满意。
Objective To investigate the effect of neurolysis for the peripheral nerve entrapment syndrome in upper extremities. Methods Neurolysis was performed in 94 patients presented with peripheral nerve entrapment syndrome in upper extremities from January 1995 to june 2008. Ulnar nerve anterior transposition was performed at the same time for cubital tunnel syndrome. The outcome was evaluated according to BMRC criteria. Results 71 patients were followed up. The follow - up period was 6 months to 4 years. Of 71 nerves 31 were excellent, 25 good, 10 fair, 5 poor. Conclusion Surgical procedure should be performed if nerve function does not recover after conservative treatment or the treatment of peripheral nerve entrapment syndrome in upper extremities. The compressed nerves should be ＇thorough lysis to get a good result.
出处
《东南国防医药》
2009年第4期310-312,共3页
Military Medical Journal of Southeast China
关键词
周围神经
卡压综合征
神经松解术
Peripheral nerve
Entrapment syndrome
Upper extremities
Neurotysis
