摘要
目的探讨通过神经松解减压对糖尿病周围神经感觉的影响。方法对30例糖尿病周围神经病人进行双下肢神经松解,在显微镜下分别在内踝管胫神经及其分支、膝外侧腓神经管腓总神经、足背腓深神经处在显微外科技术微创手术下分别减压神经受压及神经外膜、束膜切开松解。观察病人手术前及术后检查上述神经传导速度,足部麻木、疼痛症状缓解程度,两点辨别觉及10g尼龙单丝试验。结果术后患者麻木、疼痛症状明显缓解有效率分别达93.3%、96.67%,10g尼龙单丝试验阳性率达到93.33%,腓总神经、胫神经感觉神经传导速度明显加快(P<0.05),两点辨别觉明显改善(P<0.05)。结论糖尿病周围神经病经过在显微外科手术下进行神经管道性狭窄松解及神经外膜、束膜的松解后病人的麻木、疼痛症状明显缓解,神经感觉功能明显恢复。
ObjectiveTo study the effect of peripheral nerves decompression on the recovery of nerve sensibility among patients with diabetes.MethodsThirty cases with diabetic peripheral neuropathy underwent surgical decompression on inner malleolus tube nervus tibialis and the branch, knee lateral nervus peronaeus tube common peroneal nerve, musculocutaneous nerve of dorsum pedis in both lower limbs, so as to decompress the nerves, epineurium and bundle membrane. The numbness and pain were observed before and after operation. The sensibility and motor conduction velocity of the above nerves were checked with two point discrimination and Semmes-Weinstein（10g） test.ResultsRemission of numbness and pain after surgery reached 93.3%and 96.67% respectively. The effective rate of Semmes-Weinstein（10g） test was 90%. The sensibility of common peroneal nerve and nervus tibialis together with motor nerve conduction were improved significantly （P〈0.05）.Two point discrimination was also improved （P〈0.05）. ConclusionThe microsurgical decompression on cerebromedullary tube stenosis, epineurium and bundle membrane among patients with diabetic peripheral neuropathy can relieve numbness and pain for the patients. The sensibility of the nerves can be improved too.
出处
《医学研究杂志》
2010年第1期53-55,共3页
Journal of Medical Research
基金
广西壮族自治区卫生厅柳州市科技局资助课题(Z2007283)
关键词
显微外科
糖尿病周围神经病
神经减压
神经感觉
Microsurgery
Diabetic peripheral neuropathy
Nerve decompression
Nerve sensibility
