桡神经浅支卡压的解剖与临床

Clinical And Anatomic Study on Superficial Radial Nerve.

目的:了解桡神经浅支卡压的依据并讨论了该征的诊断及治疗原则。方法:解剖观测了20具40侧成人上肢标本桡神经浅支穿出处的局部解剖特点及其距桡骨茎突的距离,随访了12例患者,9例采用局部封闭治疗,3例采用手术神经松解治疗。结果:桡神经浅支穿出部位为腱性组织所包绕。该处筋膜将肱桡肌腱挤在一起,从而易于受压。临床随访6个月至2年,保守及手术治疗患者症状均完全消失无复发。结论:解剖:桡神经浅支在前臂中下段易发生卡压有其解剖学基础。临床上病程短症状轻患者保守治疗往往能有较好疗效,病程长症状重或存在其它病理性压迫患者往往需要手术治疗。

Abject:To afford anatomic basis and analyze treatment effect of superfical radial nerve compression. Methods; Anatomic study was done on both sides of superficial radial nerve in 20 adult cadavers. 12 patients with superficial radial nerve comperssion were treated and followde up. Results:Superficial radial nerve ran between brachioradial and extensor carpiradialis longus.then it penetrated deep fascia to subcutaneous part. The nerve was fixed by tendinous tissue at the penetrating site. All the patients treated by local block or neurolysis did not recur after 6 months to 2 years'follow-up. Conclusion;Superficial radial nerve compression should be treated as soon as it is diagnosed.