| 肘部腱鞘囊肿致骨间背侧神经卡压综合征5例临床分析 |
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Received:December 19, 2012
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| 作者 | Author | 单位 | Unit | E-Mail |
| 孙益 |
SUN Yi |
浙江中医药大学, 浙江 杭州 310053
余姚市中医院, 浙江 余姚 315420 |
Zhejiang University of TCM, Hangzhou 310053, Zhejiang, China |
sunyi19832001@163.com |
| 童培建 |
TONG Pei-jian |
浙江中医药大学, 浙江 杭州 310053 |
Zhejiang University of TCM, Hangzhou 310053, Zhejiang, China |
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| 李象钧 |
LI Xiang-jun |
余姚市中医院, 浙江 余姚 315420 |
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| 期刊信息：《中国骨伤》2013年26卷，第11期，第949-952页 |
| DOI：10.3969/j.issn.1003-0034.2013.11.017 |
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目的：探讨肘部腱鞘囊肿致骨间背侧神经卡压综合征的发病原因及手术方法。
方法：自2005年3月至2012年3月，采用手术切除腱鞘囊肿、骨间背侧神经松解术治疗5例肘部腱鞘囊肿致骨间背侧神经卡压综合征患者，男3例，女2例；年龄35～60岁，平均50.4岁；发病至手术时间为3～10个月，平均6.3个月。主要临床症状为前臂上段外侧处酸痛，掌指关节不能主动伸直，伸腕力弱，肌电图检查呈现神经源性损害或神经传导速度减慢。根据英国医学研究院神经外伤学会将神经损伤后按制订的标准结合临床进行运动、感觉功能评定。
结果：5例患者均获随访，时间3～15个月，平均为8.5个月，术后患者切口愈合可，无明显并发症。术后疗效评价，优（M4S3+及以上）3例，良（M3S3）2例。5例患者伸拇、伸掌指关节功能恢复良好，均达到正常生活要求。
结论：手术切除腱鞘囊肿、骨间背侧神经松解术治疗肘部腱鞘囊肿致骨间背侧神经卡压综合征具有彻底解除骨间背侧神经卡压，促进该神经的功能恢复，疗效确切。 |
| [关键词]:骨囊肿 肘 骨间背侧神经 外科手术 |
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| Entrapment syndrome of posterior interosseous nerve caused by elbow cyst：5 cases reports |
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Abstract:
Objective: To investigate the causes and operations for entrapment syndrome of posterior interosseous nerve caused by elbow cyst.
Methods: Form March 2005 to March 2012,5 patients with entrapment syndrome of posterior interosseous nerve caused by elbow cyst were treated with surgical excision and neurolysis including 3 males and 2 females with an average age of 50.4 years old ranging from 35 to 60 years old. The course was from 3 to 10 months with an average of 6.3 months. The main clinical symptoms were pain on the outside of the forearm. The extension muscle power of the metacarpophalangeal joints at the fingers and the wrist had decreased. The EMG showed neurogenic damage or nerve conduction slowing down. According to the functional neurological evaluation standard of British Medical Research Institute,the motion and sensory function after nerve injury was assessed.
Results: Patients were followed up for 3 to 15 months with an average of 8.5 months. Wound healing in patients was good after the operations. There were no significant complications. Three patients were excellent(M4S3+)and 2 patients were good(M3S3). The hand joint function of 5 patients recovered well after operation.
Conclusion: The surgical excision and neurolysis for treatment of entrapment syndrome of posterior interosseous nerve caused by elbow ganglions cyst can remove the entrapment syndrome of the posterior interosseous nerve thoroughly,promote the neurological function recovery. According to the functional evaluation standard,operations achieved better therapeutic effect. |
| KEYWORDS:Bone cysts Elbow Posterior interosseous nerve Surgical procedures,operative |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 孙益,童培建,李象钧.肘部腱鞘囊肿致骨间背侧神经卡压综合征5例临床分析[J].中国骨伤,2013,26(11):949~952 |
| 英文格式: | SUN Yi,TONG Pei-jian,LI Xiang-jun.Entrapment syndrome of posterior interosseous nerve caused by elbow cyst：5 cases reports[J].zhongguo gu shang / China J Orthop Trauma ,2013,26(11):949~952 |
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