腓总神经嵌压综合征

Common Peroneal Nerve Compression Syndrome

报告腓总神经嵌压综合征９例，用保守疗法治疗３例，手术治疗６例，获满意疗效。该症的发生与腓总神经在窝至腓骨颈的解剖特点密切相关。主要病因为膝关节急剧屈曲下蹲位劳动使腓总神经反复损伤和局部赘生物压迫。临床表现为胫前肌、腓骨长肌、长伸肌、趾长伸肌等肌力减退或麻痹，小腿外侧及足背皮肤麻木或感觉缺失。电生理检查对诊断有一定价值。早期可保守治疗，３个月无效者，即应手术探查。局部赘生物嵌压者，应将其切除，进行彻底的神经松解术。

Nine cases with common peroneal nerve compression had been treatd since 1987. Of these,6cases were operated,the other,unoperated.The results were satisfactory. This syndrome were related closely to the anatomy of common peroneal nerve from pepliteal fossa to collum fibula. The main cause were that the dranatical flesion of knee joint resulted in the repeated pressure of common peroneal nerve or sorking in croucking position led local neeplasm to compress it. In clinic, it showed the weakness or palsy of tibalisanterior muscle, extensor digitorum longus musle, peroneal longus muscle and skin numbness or sensitive lost of lateral lower leg, dorsal foot. Electrophysiology examination had value in diagnosis. In early case, it should be unoperated, operation would be applied if it had no effect after three months treatment unoperatively. The local neeplasm should be resected early and neurolysis should be completed.