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压迫性神经病中的神经松解术。

Neurolysis in compressive neuropathies.

作者信息

Palazzi S, Palazzi J L

出版信息

Int Surg. 1980 Nov-Dec;65(6):509-14.

PMID:7203870
Abstract

The application of microsurgical neurolytic techniques in cases of peripheral nerve entrapments offers greater advantages than other techniques, as it allows a better understanding of the neural alterations. In most cases, a longitudinal epineurectomy is necessary to free the fascicles of the epineural fibrosis. Less frequently, internal neurolysis is needed for removal of interfascicular scarring. Fifty cases of elbow ulnar neuropathy and 58 of the carpal tunnel syndrome were treated with this technique: 72% of the results were satisfactory.

摘要

显微外科神经松解技术应用于周围神经卡压病例比其他技术具有更大优势,因为它能更好地了解神经改变。在大多数情况下,需要进行纵向神经外膜切除术以松解神经外膜纤维化的束状结构。较少情况下,需要进行内部神经松解以去除束间瘢痕。应用该技术治疗了50例肘部尺神经病变和58例腕管综合征:72%的结果令人满意。

相似文献

1
Neurolysis in compressive neuropathies.压迫性神经病中的神经松解术。
Int Surg. 1980 Nov-Dec;65(6):509-14.
2
Compressive neuropathies of the ulnar nerve at the elbow and wrist.肘部和腕部尺神经的压迫性神经病变
Instr Course Lect. 2000;49:305-17.
3
[Is intraneural neurolysis in ulnar nerve sulcus syndrome justified?].
Handchir Mikrochir Plast Chir. 1989 Nov;21(6):294-8.
4
[Ulnar nerve tunnel syndrome at the elbow (49 cases). Valve and dangers of microsurgical neurolysis].[肘部尺神经管综合征(49例)。显微神经松解术的操作方法及风险]
Neurochirurgie. 1982;28(2):121-5.
5
Controversial entrapment neuropathies.有争议的卡压性神经病。
Neurosurg Clin N Am. 2008 Oct;19(4):597-608, vi-vii. doi: 10.1016/j.nec.2008.07.001.
6
Surgical treatment of a tomaculous neuropathy.腊肠样神经病的外科治疗
J R Coll Surg Edinb. 2001 Aug;46(4):240-1.
7
[Clinical study on expansion of groove of ulnar nerve and interfascicular neurolysis in treating severe cubital tunnel syndrome].尺神经沟扩大及束间神经松解治疗重度肘管综合征的临床研究
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2008 Nov;22(11):1314-7.
8
Pitfalls in the management of cubital tunnel syndrome.尺神经沟综合征治疗中的陷阱。
Orthop Rev. 1989 Jan;18(1):36-44.
9
[Results of the surgical liberation of the ulnar nerve in retro-epitrochlear tunnel syndromes].[尺神经上髁后隧道综合征手术松解的结果]
J Chir (Paris). 1983 Apr;120(4):251-5.
10
[Nerve compression syndromes of the elbow and hand].[肘部和手部的神经卡压综合征]
Unfallchirurg. 1990 Apr;93(4):165-80.

引用本文的文献

1
Comparison of the histopathological findings of patients with diabetic and idiopathic carpal tunnel syndrome.糖尿病性和特发性腕管综合征患者组织病理学检查结果的比较。
Int Orthop. 2015 Dec;39(12):2395-401. doi: 10.1007/s00264-015-2790-y. Epub 2015 Apr 29.
2
The effect of epineurotomy on the median nerve volume after the carpal tunnel release: a prospective randomised double-blind controlled trial.神经外膜切开术对腕管松解后正中神经体积的影响:一项前瞻性随机双盲对照试验。
Int Orthop. 2012 Sep;36(9):1885-92. doi: 10.1007/s00264-012-1565-y. Epub 2012 May 17.