双神经卡压综合征

Double nerve compression syndrome

目的：研究双神经卡压征的病因及手术治疗方法。方法：分析了自１９８８年以来同时诊断为腕管综合征和肘管综合征２６例３４侧的临床资料。全部患者均作两处神经松解术，平均随访１７个月。疗效评定标准，根据术后症状、体征的改善程度分优、良、可和无效四级。结果：２５侧术后疗效优良，占７３．６％（２５／３４）。结论：双神经卡压征手术治疗效果较好。当双神经卡压同时合并颈部神经卡压时，建议优先考虑远端的神经减压。当远端神经减压后未能改善近端神经卡压症状时。

Objective: To study the effectiveness of surgical treatment for the double nerve compression syndrome. Methods: Since 1988, 34 arms in 26 patients suffering from coexistent carpal tunnel syndrome and cubital tunnel syndrome were analyzed. All patients were treated by neurolysis. The mean time of follow up was 17 months. The results were divided into four degrees: excellent, good, fair and poor. Results: Excellent and good results were obtained in 25 arms,the satisfying rate was 73.6% (25/34). Conclusions: Neurolysis could lead to favorable results for the treatment of double nerve compression syndrome. When double nerve compression syndrome was coexistent with TOS, we suggest that the distal nerve entrapment be decompressed first. Only in case the symptoms of TOS were not relieved, the proximal nerve decompression should be considered.