摘要
目的介绍腕部正中神经掌皮支卡压综合征的临床表现，提高对该病的认识水平和治疗效果。方法对２具新鲜尸体和６例手外伤的正中神经掌皮支来源、走行及分支进行解剖和观测，并采用药物封闭治疗。结果正中神经掌皮支在腕横韧带及手掌位置表浅固定，在穿出手掌固有筋膜前有不同程度的膨大。对１９９５年～１９９８年收治的１２例，随访４～１２个月，症状均消失无复发。结论正中神经掌皮支卡压的病因与局部解剖因素有关。其诊断依据主要为腕手掌疼痛，鱼际区皮肤感觉障碍，但无肌肉萎缩。封闭治疗效果好。
Objective To study the compression factor and clinical manifestation of the compression of the palmar cutaneous branch of the median nerve.Methods Anatomic study was done on both sides of 2 cadavers and 6 cases of hand injury in the debridement,the origin, course, branch of the palmar cutaneous branch of the median nerve were observed. From 1995 to 1998, 12 patients of compression of the palmar cutaneous branch were treated by local blockade injection. Among them, there were 8 males and 4 females, aged from 23 to 65 years and the course of disease ranged 3 to 12 months.Results The palmar cutaneous branch of the median nerve was (1.3±0.1) mm in diameter, it could be pulled when the wrist dorsi extention. All cases showed good recovery of hand function and no recurrence after 4 to 12 months follow up.Conclusion The palmar cutaneous branch compression syndrome is closely related to the local anatomy. The diagnosis is definited according to the clinical symptoms and signs, and local blocking is effective on the most patients.
出处
《中国修复重建外科杂志》
CAS
CSCD
1999年第4期223-224,共2页
Chinese Journal of Reparative and Reconstructive Surgery
