摘要
本文报道1986年7月至1990年8月手术治疗的39例胸廓出口综合征(TOS)中,术前电生理检查提示“双卡”的有10例,其中合并正中神经腕部卡压的6例,正中神经运功纤维腕部纤维潜伏期明显延长,合并尺神经肘管卡压的3例,肘上5cm至肘下5cm传导速度平均32m/s,比肘上5cm至Erb,电和肘下5cm至腕减慢30％～40％,1例合并腕尺管卡压,尺神经腕部潜伏期4.8ms。在作臂丛神经血管松解的同时,2例行腕管松解,1例行尺神经前置,均取得优良疗效,其余7例单作颈部臂丛松解的,5例症状明显改普,2例无效,因此,是否一定要作远侧神经松解,需进一步观察。
Among 39 cases of thoracic outlet syndrome (TOS) treated surgically from July 1986 to Aug 1990, 10 cases were accompanied with double crush as suggested by preoperative electrophysiological examine. Of these, 6 had carpal tunnel syndrome, the latency of motor fibers of median nerve in the wrist were prolonged significantly. Three had ulnar nerve compression in the cubital tunnel, the nerve conduction velocity averaged 32 m/s in the segment 5cm above and below the point of medial epicondyle, 30—40% slower as compared with the segment of 5cm above the point of medial epicondyle to the Erb's point and 5cm below the elbow to the wrist, 1 had Guyon's syndrome, the latency prolonged 4.8ms. In addition to release of brachial plesus and vessels, the carpal tunnel was opened in 2 cases and the ulnar nerve antopositioned in 1. These 3 cases achieved excellent results. In the other 7 cases, only brachial plesus was released, symptoms were improved significanty in 5 and not improved in 2.
出处
《上海医学》
CAS
CSCD
北大核心
1992年第12期692-694,共3页
Shanghai Medical Journal
关键词
胸廓出口
综合征
双卡综合征
手术
Thoracic outlet syndrome
double crush syndrome
surgical treatment
