骨间前神经卡压综合征的治疗  

Treatment of anterior interosseous nerve compression syndrome

作　　者：韩力[1] 阚世廉[1] 鲁毅军[1] 宫可同[1] 周强[1] 费起礼[1] 

机构地区：[1]天津医院手显微外科,天津300211

出　　处：《实用手外科杂志》2004年第4期216-217,共2页Journal of Practical Hand Surgery

摘　　要：目的探讨骨间前神经卡压综合征的卡压特点和手术疗效。方法自1990年～2002年,对12例骨间前神经卡压综合征的病因、症状与体征、术中所见及治疗方法进行分析。结果术后全部病例获得随访,平均随访时间2年11个月。拇、示指屈曲肌力恢复正常10例,2例部分恢复。结论骨间前神经卡压综合征主要为旋前圆肌和指浅屈肌腱腱弓压迫造成,需与旋前圆肌综合征仔细鉴别。早期可保守治疗,一旦肌力明显下降,应及早手术治疗。Objective To investigate the entrapment features and surgical treatment of with anterior interosseous nerve compression syndrome.Methods We operated 12 patients with anterior interosseous nerve compression syndrome from Jan 1990 to June 2002, the etiology, symptoms and clinical manifestations, intraoperative findings and surgical management of these cases were analyzed.Results All cases were followed-up for an average of 2 years and 11 months. Complete restoration of the strength with the flexor pollicis longus and the flexor digitorum profoundus index was observed in 10 cases,and portion of the function was restored in 2 cases.Conclusion It may be caused by the compression of tendon arch of the pronator teres and the flexor digitorum superficialis.The diagnosis should be carefully, and it should be different from the pronator teres syndrome.It is managed by conservative treatment on early period. The patients with syndrome should be operated on as soon as evident strength descended.

关 键 词：骨间前神经卡压综合征 1990年-2002年 旋前圆肌 指浅屈肌腱 手术疗效 治疗方法 术中所见 随访时间 肌力恢复 保守治疗 手术治疗 

分 类 号：R651.3[医药卫生—外科学]