Houpt P, Storm van Leeuwen J B, van den Bergen H A
Department of Plastic Surgery, Sophia Hospital, Zwolle, The Netherlands.
J Hand Surg Am. 1989 Jul;14(4):706-9. doi: 10.1016/0363-5023(89)90195-0.
A case of an intraneural lipofibroma of the median nerve is described. The patient was first seen with an enlarging mass on the flexor side of the wrist and in the palm. After interfascicular dissection of the tumor there was a permanent loss in sensibility and motor function. In most cases decompression of the nerve will suffice; resection by means of interfascicular dissection is rarely justified.
本文描述了一例正中神经内脂肪纤维瘤病例。患者首次就诊时,手腕掌侧和手掌有一肿物且不断增大。肿瘤进行束间分离切除术后,感觉和运动功能出现永久性丧失。在大多数情况下,神经减压即可;通过束间分离进行切除很少有必要。