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[桡管综合征。35例连续同质病例系列研究]

[Radial tunnel syndrome. Study of a continuous and homogenous series of 35 cases].

作者信息

Raimbeau G, Saint-Cast Y, Pelier-Cady M C

机构信息

Clinique Saint-Léonard, Angers.

出版信息

Rev Chir Orthop Reparatrice Appar Mot. 1990;76(3):177-84.

PMID:2146711
Abstract

Thirty-five patients in a continuous and homogenous series of radial tunnel syndromes treated surgically between 1980 and 1987 were re-examined by an independent observer with a follow-up greater than six months. Electromyographic studies in each case had confirmed the presence of a neurological lesion and such studies were considered to be of value when nerve compression was combined with other local painful conditions. Neurolysis was performed with optical magnification through a lateral approach. The clinical results were assessed using the criteria of Roles and Maudsley. Apart from one case which showed an inadequate result, there were 14 excellent, 11 good and 9 fair results. Post-operative electromyographic studies were performed in 30 cases and showed a significant improvement in the shape and adequacy of the tracings compared with the pre-operative condition. Among the fair or poor results, 60 per cent showed an associated radiculopathy of C7 compared with 16 per cent in the good and excellent results.

摘要

1980年至1987年间接受手术治疗的35例连续性、同质性桡管综合征患者由一名独立观察者进行复查,随访时间超过6个月。每例患者的肌电图研究均证实存在神经损伤,当神经受压合并其他局部疼痛情况时,此类研究被认为具有价值。通过外侧入路在手术放大镜下进行神经松解术。使用Roles和Maudsley标准评估临床结果。除1例结果欠佳外,有14例优、11例良和9例可。30例患者进行了术后肌电图研究,结果显示与术前相比,肌电图的形态和完整性有显著改善。在可或差的结果中,60%显示伴有C7神经根病,而在优和良的结果中这一比例为16%。

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