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常见上肢卡压性神经病的新进展。

What's new in common upper extremity entrapment neuropathies.

作者信息

Toussaint Charles P, Zager Eric L

机构信息

Department of Neurosurgery, Hospital of University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104, USA.

出版信息

Neurosurg Clin N Am. 2008 Oct;19(4):573-81, vi. doi: 10.1016/j.nec.2008.07.031.

Abstract

Upper extremity entrapment neuropathies are common and disabling, and correct diagnosis is essential for proper management. This article is a review of the recent developments related to diagnosis and treatment of common upper extremity nerve entrapments, including novel treatment strategies for suprascapular, median, ulnar, and radial nerve entrapments. When combined with classic peripheral nerve examination techniques, innovations in imaging modalities have led to more reliable diagnoses. Innovations in surgical techniques, such as endoscopic approaches, have been controversial as to their effects on patient outcome, but recent randomized controlled trials have provided important information regarding common operative techniques, particularly with regard to carpal tunnel surgery and ulnar nerve transpositions.

摘要

上肢神经卡压性神经病很常见且会导致功能障碍,正确诊断对于恰当的治疗至关重要。本文综述了常见上肢神经卡压症诊断和治疗的最新进展,包括肩胛上神经、正中神经、尺神经和桡神经卡压症的新型治疗策略。当与经典的周围神经检查技术相结合时,成像方式的创新已带来更可靠的诊断。手术技术的创新,如内镜手术方法,其对患者预后的影响一直存在争议,但最近的随机对照试验提供了有关常见手术技术的重要信息,特别是在腕管手术和尺神经转位方面。

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