Sotereanos D G, Giannakopoulos P N, Mitsionis G I, Xu J, Herndon J H
Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, PA, USA.
Microsurgery. 1995;16(11):752-6. doi: 10.1002/micr.1920161110.
Recurrent compressive neuropathy of the median nerve due to cicatrix is an extremely challenging clinical problem. Available treatment techniques are difficult and results uncertain. Early experience with the autogenous vein graft wrapping technique has shown great promise for the treatment of chronic compressive neuropathy after other procedures have failed. We report on 3 patients with average follow-up of 2 years. Postoperatively, all the patients had significant improvement on electromyograms, and the findings of both subjective and objective assessments were excellent or good for 2 patients. The procedure is simple; the donor is readily available; no complications were noted in the donor area, and the graft tissue has good compatibility. This technique can also be applied for chronic compression of any peripheral nerve.
瘢痕所致正中神经复发性压迫性神经病变是一个极具挑战性的临床问题。现有的治疗技术难度大且效果不确定。自体静脉移植包裹技术的早期经验表明，在其他治疗方法失败后，该技术对慢性压迫性神经病变的治疗具有很大前景。我们报告了3例患者，平均随访2年。术后，所有患者的肌电图均有显著改善，2例患者的主观和客观评估结果均为优或良。该手术操作简单；供体易于获取；供体区域未发现并发症，且移植组织具有良好的相容性。该技术也可应用于任何周围神经的慢性压迫。
