Rao K S, Siddalinga Swamy M K
Lepr Rev. 1989 Dec;60(4):283-7. doi: 10.5935/0305-7518.19890036.
In leprosy, involvement of the posterior tibial nerve leads to sensory loss in the plantar aspect of the foot. As a result plantar ulcers are common and lead to deformity and disability. Restoration of plantar sensation can prevent ulcer formation. Posterior tibial decompression was done for the recovery of sensation in the plantar aspect of the foot. Seventy-two patients under went decompression on 84 feet, 25 received steroids pre- and post-operatively. The recovery of sensation was better if surgery was done before 6 months of onset of anaesthesia. Decompression along with steroids gave better results than decompression alone in patients with active neuritis especially in BT cases whereas in BB, BL and LL cases there was no significant improvement of sensation. The results are discussed.
在麻风病中，胫后神经受累会导致足部足底感觉丧失。因此，足底溃疡很常见，并会导致畸形和残疾。恢复足底感觉可预防溃疡形成。为恢复足部足底感觉进行了胫后减压术。72例患者的84只脚接受了减压手术，其中25例在术前和术后接受了类固醇治疗。如果在麻醉开始6个月之前进行手术，感觉恢复会更好。在患有活动性神经炎的患者中，尤其是在结核样型（BT）病例中，减压联合类固醇治疗比单纯减压效果更好，而在界线类偏结核样型（BB）、界线类偏瘤型（BL）和瘤型（LL）病例中，感觉没有明显改善。对结果进行了讨论。
