上肢神经非创伤性神经束扭转  

Non-traumatic nerve fascicle torsion of the upper extremity

作　　者：丁小珩[1] 赵冰[1] 程国良[1] 潘达德[1] 姜凯[1] 张宏勋[1] 陶昊[1] 侯书健[1] 

机构地区：[1]解放军第四○一医院手外科,青岛266071

出　　处：《中华手外科杂志》2005年第4期195-196,共2页Chinese Journal of Hand Surgery

摘　　要：目的讨论上肢神经非创伤性神经束扭转的发病机理、诊断和治疗结果。方法对5例上肢神经非创伤性神经束扭转进行神经松解术1例,神经切断直接缝合4例。分析其病史并对该病的发病、病程、检查发现及术中发现进行探讨。结果5例上肢神经非创伤性神经束扭转患者与上肢神经非创伤性神经卡压患者在临床表现、诊断上均有差异,手术治疗有效率为80%。结论上肢神经非创伤性神经束扭转是区别于上肢神经非创伤性神经卡压的另一类疾病。Objective To report a scries of 5 cases of upper extremity nerve torsion.Methods For the 5 clinical cases,the onset,pathogcnesis,clinical findings,gross puthology found intra-operatively are analyzed and explored.The trestment procedures.are neurolysis or excision and anastomosis.Results The pathology and clinical manifestation of non-traumatic nerve torsion and nerve entrapment are different.The overall effective rate is 80%.Conclusion Non-traumatic upper extremity nerve torsion is a different entity of neuropathy which should be differentiated from nerve entrapment syndrome.

关 键 词：上肢神经 非创伤性神经束扭转 手术治疗 神经松解术 发病机理 

分 类 号：R651.3[医药卫生—外科学]