| 第三趾底总神经卡压综合征 |
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Received:September 08, 1999 Revised:June 05, 2000
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| 期刊信息：《中国骨伤》2001年14卷，第3期，第141-142页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的;探讨第三趾底总神经卡压综合征的发病机理、诊断和治疗。
方法;对34例第三趾底总神经卡压综合征患者首选保守治疗,包括穿带跖骨垫软鞋,内服中药,中药水煎滤液直流通电导入,病患局部类固醇激素封闭等。保守治疗无效15例及复发3例作跖底深横韧带切断和神经松解术,5例加作神经瘤切除术。
结果;34例首选保守治疗,19例有效,其中复发6例,无效15例。手术治疗18例未见复发。
结论;趾背伸试验和前足横向加压试验对临床诊断很有价值。保守治疗在早期通常是有效的。 |
| [关键词]:神经压迫综合征 足疾病 神经外科手术 中草药 |
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| The compression syndrome of the third co mmon plantar digital nerves |
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Abstract:
Objective;To study the pathogenesis,diagnosis and treatment of the compression syndrome of the third common plantar digital nerves .
Methods;Conservative methods were at first used for all the 34 cases of this disease.Tre atment methods includes;wearing shoes wi th soft bottom and metatarsal pad;the ad ministration of Chinese herbs;the applic ation of direct current iontherapy by fi ltering Chinese herbs and performing loc al injection therapy with steroid at the tenderness points.15 patients with no e ffect following conservative methods and other 3 recurrent cases were treated wi th section of deep transverse metatarsal ligament and relaxing the nerves compre ssion.Of the 18 cases,5 had additional t o excision of the neuroma.
Results;Of the 34 cases treated with conservativ e methods,19 had effective results,of wh ich 6 cases recurred,and 15 cases had no effect.18 cases treated with operation had no recurrence.
Conclusion;Toe extending test and forefoot transver sely compressing test provide a valuable basis for diagnosis.Conservative treatm ent are usually effective in earlier pha se.If conservative treatment is not effe ctive,the transverse metatarsal ligament should be sectioned,nerves should be re laxed and the neuroma must be excised.Th e results of operative treatment are sat isfactory. |
| KEYWORDS:Nerve compression symdrome Foot disease Neurosurgical operation Chinese herbal medicine |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 李明祚,崔明,吴林康.第三趾底总神经卡压综合征[J].中国骨伤,2001,14(3):141~142 |
| 英文格式: | LI Ming zuo,CUI Ming,WU Lin kang.The compression syndrome of the third co mmon plantar digital nerves[J].zhongguo gu shang / China J Orthop Trauma ,2001,14(3):141~142 |
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