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一名长期血液透析患者的肘管综合征

Cubital tunnel syndrome in a patient in long-term haemodialysis.

作者信息

Konishiike T, Hashizume H, Nishida K, Inoue H, Moriwaki K

机构信息

Department of Orthopaedic Surgery, Okayama University Medical School, Japan.

出版信息

J Hand Surg Br. 1994 Oct;19(5):636-7. doi: 10.1016/0266-7681(94)90133-3.

Abstract

The onset mechanism of cubital tunnel syndrome and carpal tunnel syndrome may be similar in haemodialysis patients. Carpal tunnel syndrome is well recognized as a consequence of dialysis-associated amyloidosis. This case report documents the development of cubital tunnel syndrome in a patient on haemodialysis treatment for 10 years. Proliferating granulation tissue at the elbow had entrapped and displaced the ulnar nerve. This was corrected surgically, and the patient experienced immediate relief of the numbness and the "tingling", but the muscular atrophy had not improved after 8 months.

摘要

在血液透析患者中,肘管综合征和腕管综合征的发病机制可能相似。腕管综合征被公认为是透析相关淀粉样变的结果。本病例报告记录了一名接受血液透析治疗10年的患者发生肘管综合征的情况。肘部增生的肉芽组织压迫并移位了尺神经。通过手术进行了矫正,患者的麻木和“刺痛”感立即得到缓解,但8个月后肌肉萎缩仍未改善。

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