Terrono A L, Millender L H
Department of Orthopaedics, Tufts University School of Medicine, New England Baptist Hospital, Boston, Massachusetts, USA.
Orthop Clin North Am. 1996 Oct;27(4):783-93.
Peripheral nerve symptoms are common in the worker. Great care must be given to obtain an accurate diagnosis. Diagnostic labels should not be used unless one is sure of the diagnosis. A detailed evaluation of the worker, job, and medical and psychosocial conditions must be performed. Nonoperative treatment is primary. Understanding at-risk patients and managing them carefully can decrease disability and improve results following treatment. The results from surgery are less successful in work-related disorders and disability is often prolonged. Surgery should only be performed for clear diagnoses and clear indications after adequate nonoperative treatment, with careful consideration of the job to which the worker will return.
周围神经症状在工人中很常见。必须非常谨慎地进行准确诊断。除非确定诊断，否则不应使用诊断标签。必须对工人、工作以及医疗和社会心理状况进行详细评估。非手术治疗是主要的。了解高危患者并谨慎管理他们可以减少残疾并改善治疗后的效果。与工作相关的疾病手术效果不太理想，残疾往往会延长。只有在经过充分的非手术治疗后，明确诊断并有明确指征，且仔细考虑工人将返回的工作后，才应进行手术。
