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腕部尺神经卡压性综合征(Guyon管综合征)的外科治疗:两例报告

Surgical management of Guyon's canal syndrome, an ulnar nerve entrapment at the wrist: report of two cases.

作者信息

Aguiar P H, Bor-Seng-Shu E, Gomes-Pinto F, Almeida- Leme R J, Freitas A B, Martins R S, Nakagawa E S, Tedesco-Marchese A J

机构信息

Peripheral Nerve Group, Division of Neurosurgery, Medical School, São Paulo University, São Paulo, Brazil.

出版信息

Arq Neuropsiquiatr. 2001 Mar;59(1):106-11. doi: 10.1590/s0004-282x2001000100022.

DOI:10.1590/s0004-282x2001000100022
PMID:11299442
Abstract

Guyon's canal syndrome, an ulnar nerve entrapment at the wrist, is a well-recognized entity. The most common causes that involve the ulnar nerve at the wrist are compression from a ganglion, occupational traumatic neuritis, a musculotendinous arch and disease of the ulnar artery. We describe two cases of Guyon's canal syndrome and discuss the anatomy, aetiology, clinical features, anatomical classification, diagnostic criteria and treatment. It is emphasized that the knowledge of both the surgical technique and anatomy is very important for a satisfactory surgical result.

摘要

盖氏管综合征是一种腕部尺神经卡压症,是一种广为人知的病症。腕部涉及尺神经的最常见病因是腱鞘囊肿压迫、职业性创伤性神经炎、肌纤维弓和尺动脉疾病。我们描述了两例盖氏管综合征病例,并讨论了其解剖结构、病因、临床特征、解剖学分类、诊断标准及治疗方法。强调了手术技术和解剖学知识对于获得满意手术效果都非常重要。

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