隐神经髌下支神经痛诊断与治疗

Diagnosis and treatment of infrapatellar branch neuralgia of the saphenous nerve

目的探讨隐神经髌下支神经痛诊断与注射治疗的解剖学基础。方法收集门诊自2001年10月至2009年9月间确诊的隐神经髌下支自发性神经痛16例,采用强的松龙加局部麻醉药注射至神经穿出深筋膜处的方法治疗。结果所有病例均在注射后数分钟内止痛。10例1周后痊愈,未再复发。其余6例1周后仍然有轻度疼痛,经再次注射后止痛,未再复诊,应属痊愈。结论对于非创伤或膝部手术而自发产生的隐神经髌下支神经痛,采用强的松龙加局部麻药注射神经穿出深筋膜处进行治疗,可以获得满意的效果,不失为首选的治疗方法。

Objective To introduce the anatomical basis for diagnozing and treating infrapatellar branch neuralgia of the saphenous nerve.Methods Totally 16 cases of diagnosed infrapatellar branch neuralgia of the saphenous nerve were collected in our outpatient department from Oct.2001 to Sep.2009.All the patients were treated with injection of prednisolone plus local anesthetics to where the nerve is passing through.Results Pain was abolished in all patients several minutes after the injection.Ten cases recovered one week later and never relapsed again.The other six cases experienced mild degree pain one week later and got recovered after another injection.They probably recovered soon and never made a return.Conclusion Satisfactory treatment effect could be obtained by local injection of prednisolone plus local anesthetics concerning the cases of infrapatellar branch neuralgia of the saphenous nerve if no detectable traumatic or surgical causes could be found.It could be regarded as the best therapy.