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[周围神经卡压综合征的外科治疗]

[Surgical treatment of peripheral nerve compression syndromes].

作者信息

Tikk A A, Virro T E

出版信息

Zh Vopr Neirokhir Im N N Burdenko. 1985 Mar-Apr(2):45-7.

PMID:4002957
Abstract

Among 12,476 patients with diseases of the peripheral nervous system 54.3% had radical syndromes, 16.3% had acute injuries of the nerves, 25.2% had entrapment syndromes, 3.8% suffered from polyneuropathies and other diseases. Entrapment syndromes were encountered in 3143 patients. Carpal, ulnar, and tarsal canal syndromes, thoracic outlet syndrome, and syndromes of entrapment of the radial and peroneal nerves prevailed. A total of 763 operations were performed for the entrapment syndromes. The distribution of the syndromes and operations is shown in the table. From 10 to 20% of patients with tunnel syndromes needed surgical treatment. From 12 to 34 upper extremities were operated on annually per 100,000 population for the carpal tunnel syndrome; 90% of the operations were performed at out-patient clinics. Interfascicular neurolysis by means of microsurgical techniques was conducted mainly in the cubital tunnel syndrome. Operations in entrapment lesions are marked by high efficacy.

摘要

在12476例周围神经系统疾病患者中,54.3%患有根治性综合征,16.3%患有急性神经损伤,25.2%患有卡压综合征,3.8%患有多发性神经病和其他疾病。3143例患者患有卡压综合征。腕管、尺管和跗管综合征、胸廓出口综合征以及桡神经和腓总神经卡压综合征最为常见。针对卡压综合征共进行了763例手术。综合征和手术的分布情况见表。10%至20%的隧道综合征患者需要手术治疗。每10万人口中,每年有12至34例上肢因腕管综合征接受手术;90%的手术在门诊进行。主要在肘管综合征中采用显微外科技术进行束间神经松解术。卡压性病变的手术疗效显著。

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