腓总神经继发性卡压的治疗  

TREATMENT OF COMMON FIBULAR NERVE SECONDARY COMPRESSION SYNDROME

作　　者：王于治[1] 马广文[1] 刘其明[1] 

机构地区：[1]淮北市人民医院骨科,安徽淮北235000

出　　处：《中国修复重建外科杂志》2002年第3期166-167,共2页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：目的　探讨坐骨神经损伤后腓总神经继发性卡压的发生机制、诊断及治疗。方法　对 5例坐骨神经损伤后患者的临床表现、腓管 Tinel征及治疗情况等进行综合分析 ,发现 5例患者均存在腓总神经继发性卡压 ,均行腓管切开减压松解。结果　术后随访 13～ 37个月 ,平均 2 5个月 ,4例足背伸肌力由术前 0～ 级恢复至 ～ 级 ,1例未恢复。结论　坐骨神经损伤后腓管处产生腓总神经继发性卡压 ,一旦诊断明确 ,须尽早行腓管切开减压 ,亦可在早期修复坐骨神经时行腓管松解术 。Objective To investigate the mechanism, diagnosis, and treatment of common fibular nerve compression syndrome secondary to sciatic nerve injury. Methods Based on the clinical manifestation and Tinel's sign at fibular tunnel, 5 cases of common fibular nerve secondary compression following sciatic nerve injury were identified and treated by decompression and release of fibular tunnel. All 5 cases were followed up for 13～37 months, 25 months in average, and were evaluated in dorsal flexion strength of ankle. Results The dorsal flexion strength of ankle in 4 cases increased from 0～Ⅰ degrees to Ⅲ～Ⅴ degrees, and did not recover in 1 case. Conclusion Fibular tunnel is commonly liable to fibular nerve compression after sciatic nerve injury. Once the diagnosis is established, either immediate decompression and release of the entrapped nerve should be done or simultaneous release of fibular tunnel is recommended when the sciatic nerve is repaired.

关 键 词：坐骨神经损伤 腓总神经 神经卡压 治疗 诊断 治疗 腓管松解术 胫后肌腱移位术 

分 类 号：R651.3[医药卫生—外科学]