双侧骨间背神经卡压综合征诊疗分析  

Treatment and analysis of spontaneous entrapment in bilateral posterior interosseous nerve

作　　者：王海涛[1] 郑文祯 张巨[2] 

机构地区：[1]北华大学附属医院骨外科,吉林吉林132011 [2]吉林大学中日联谊医院手外科

出　　处：《中国民康医学》2014年第20期22-23,共2页Medical Journal of Chinese People’s Health

基　　金：国家自然科学基金项目(批准号:30972153)资助

摘　　要：目的：探讨显微镜下行神经外膜松解治疗双侧骨间背神经卡压综合征术后疗效。方法：对收治的7例双侧骨间背神经自发性卡综合征引起双手示、中、环指背伸受限患者，采取切开、松解卡压神经纤维及其外膜，术后配合营养神经及早期保护性功能练习。随访患者的患指背伸活动度及肌力。结果：术后随访患者10-15个月，平均随访12.5个月。患者双手掌指关节伸指欠伸ROM为0°-30°，平均15°。Dargan标准评估疗效，优4例，良2例，可1例，优良率达85.71％。结论：早期行卡压纤维及外膜显微外科松解手术治疗双侧骨间背神经卡压综合征，临床疗效滿意。Objective： To treat spontaneous entrapment in bilateral posterior interosseous nerve by using microscopic equip-ment for release of entrapment fiber and epineurium, and to observe postoperative treatment efficacy and evaluate the effect of the treat-ment. Methods：For 5 patients whose middle and ring fingers of both hands were restricted because of spontaneous entrapment in bilat-eral posterior interosseous nerve, the entrapment fiber and epineurium were cut and released. They were given more nutrition and did early postoperative nerve protective function exercises. The activity and muscle strength of the suffering dorsal digitals were followed-up. Results：All the patients were followed up for 10 to 15 months with an average of 12. 5 months. Two-hand-finger joints of the pa-tients could bend and stretch, and the less stretch ROM was 0°-30° with an average of 15. According to Dargan function evaluation standard, 4 fingers were excellent, 2 fingers were good, 1 finger was fair, and the good rate was 85. 71%. Conclusions：In the case of dorsal interosseous nerve unbroken, the treatment of lysis of entrapment fiber and epineurium under microscopic equipment in the early stage can get a good effect.

关 键 词：双侧 骨间背神经 卡压 松解 

分 类 号：R686[医药卫生—骨科学]