Varitimidis S E, Vardakas D G, Goebel F, Sotereanos D G
Department of Orthopaedics, University of Pittsburgh Medical Center, Kaufmann Bldg., 3471 Fifth Ave., Pittsburgh, PA 15213, USA.
J Hand Surg Am. 2001 Mar;26(2):296-302. doi: 10.1053/jhsu.2001.22528.
The treatment of entrapment neuropathy in the upper extremity with surgical decompression has generally provided good results. Recurrence of symptoms, however, is not uncommon and its management is both challenging and difficult. Nineteen patients with recurrent carpal tunnel and cubital tunnel syndrome were treated with the vein wrapping technique using the autogenous saphenous vein. The average number of surgeries before vein wrapping was 3.3. The mean patient age was 53 years (range, 28-75 years) and the mean follow-up period was 43 months (range, 24-78 months). All patients reported reduction in pain and the sensory disturbances secondary to the compression of the median or ulnar nerve. Two-point discrimination and electrodiagnostic findings also improved.
采用手术减压治疗上肢卡压性神经病总体效果良好。然而，症状复发并不少见，其处理既具有挑战性又困难。19例复发性腕管综合征和肘管综合征患者采用自体大隐静脉进行静脉包裹技术治疗。静脉包裹前的平均手术次数为3.3次。患者平均年龄为53岁（范围28 - 75岁），平均随访期为43个月（范围24 - 78个月）。所有患者均报告疼痛减轻以及因正中神经或尺神经受压继发的感觉障碍减轻。两点辨别觉和电诊断结果也有所改善。
