15例骨间前神经卡压综合征诊断治疗  

Nerve compression syndrome of anterior interosseous

作　　者：张毅[1] 侯赛云[1] 赵新建[1] 廖绪强[1] 曾明[1] 黄星球[1] 

机构地区：[1]佛山市第一人民医院骨科,528000

出　　处：《医师进修杂志（外科版）》2005年第6期19-20,共2页

摘　　要：目的探讨骨间前神经卡压综合征的发病机制、临床特点和手术疗效。方法对1990～2001年收治的15例骨间前神经卡压综合征患者的病因、症状与体征、术中病理和处理方法进行回顾性分析。结果经手术证实所有患者骨间前神经受到卡压,行手术减压。术后随访5～24个月,13例拇指、食指末节屈曲功能已完全恢复。2例拇长屈肌、食指指深屈肌肌力Ⅳ级,基本恢复对指功能。结论骨间前神经卡压综合征以逐渐或突发性的拇指、食指屈曲无力和无感觉障碍为特征,诊断一经确立应及早手术治疗,彻底解除卡压因素。Objective To discuss the compression features, clinical manifestations and surgical treatment of anterior interosseous nerve syndrome. Methods Fifteen patients with anterior interosseous nerve syndrome were operated on during 1990～2001. The etiology, symptoms, signs, intraoperative findings and surgical management of these cases were analyzed. Results Interosseous nerve compressions were proved by the operations. All patients were followed up for a period from 5 months to 24 months. Complete restoration was observed in 13 cases, and major portion of the function was restored in 2 cases. Conclusions Clinical feature of interosseous nerve compression syndrome is the impediment of flection of the thumb and index finger. The patients with anterior interosseous nerve syndrome should be operated on as soon as the diagnosis is made. The compression factors are removed completely.

关 键 词：骨间前神经卡压综合征 诊断治疗 1990-2001年 回顾性分析 无感觉障碍 发病机制 手术疗效 临床特点 处理方法 术中病理 手术证实 手术减压 术后随访 拇长屈肌 指深屈肌 手术治疗 屈曲功 食指 指功能 突发性 患者 拇指 恢复 

分 类 号：R658.2[医药卫生—外科学] R737.9[医药卫生—临床医学]