van Eerten P V, Polder T W, Broere C A
Department of Neurological Surgery, University Hospital Nijmegen, The Netherlands.
Neurosurgery. 1995 Jul;37(1):63-5. doi: 10.1227/00006123-199507000-00009.
The question of the superior operative technique for meralgia paresthetica is unsettled. Operative treatment by either neurolysis or transection of the lateral femoral cutaneous nerve was performed in 21 patients with meralgia paresthetica after complete failure of conservative treatment; neurolysis in 10 patients and transection in 11 patients were performed by five neurosurgeons. The average follow-up period was 74 months (+/- 52 mo). The results were scored as complete relief, partial relief, or failure. Direct comparison of neurolysis and transection confirmed the superiority of transection as a treatment for meralgia paresthetica (Mann-Whitney-U test, P = 0.022; one-sample sign test, P = 0.0020).
股外侧皮神经感觉异常的最佳手术技术问题尚无定论。21例股外侧皮神经感觉异常患者在保守治疗完全失败后，接受了神经松解术或股外侧皮神经切断术；5位神经外科医生对10例患者进行了神经松解术，对11例患者进行了切断术。平均随访期为74个月（±52个月）。结果分为完全缓解、部分缓解或失败。神经松解术和切断术的直接比较证实，切断术作为股外侧皮神经感觉异常的一种治疗方法具有优越性（曼-惠特尼U检验，P = 0.022；单样本符号检验，P = 0.0020）。
