Vossmann H, Wilhelm A
Handchirurgie. 1977;9(4):199-201.
If the main nerves of the forearm and wrist are effected with fibro-lipomatous hypertrophy, decompression can be performed as a palliative measure. As the disease is not pregressive, resection or defatting of the hypertrophic fascicles should be avoided. The fibrous and lipomatous tissue cannot be separated from the fascicles without damaging them, even if the finest microsurgical technique are applied. As the disturbance of motor function increases, reconstructive surgery is necessary. In the fingers the "tumor" can be resected completely; the sensation of functionally important areas should be reconstructed with a neurovascular island flap or local pedicle flaps.
如果前臂和腕部的主要神经受到纤维脂肪性肥大的影响，可进行减压作为一种姑息性措施。由于该疾病不具有进展性，应避免对肥大的束状组织进行切除或去脂。即使应用最精细的显微外科技术，纤维和脂肪组织也无法在不损伤束状组织的情况下与它们分离。随着运动功能障碍的加重，重建手术是必要的。在手指部位，“肿瘤”可完全切除；功能重要区域的感觉应采用神经血管岛状皮瓣或局部带蒂皮瓣进行重建。
