股外侧皮神经卡压综合征的诊治

Diagnosis and treatment for entrapment syndrome of lateral femoral cutanous nerve

目的探讨股外侧皮神经卡压综合征的发生机理、临床表现及治疗方法。方法结合体感诱发电位协助诊断 ,局部采用封闭疗法 ,无效者行手术治疗。结果本组大部分病例经封闭治疗后症状消失 ,仅 3例 (占 5 7% )行手术治疗 ,疗效良好。结论诊断本综合征 ,主要依靠患者的症状、体征 ,SEP有一定辅助作用 ,保守及手术治疗效果良好。

Objective To explore the etiology clinical findings and treatments of entrapment syndrome of lateral femoral cutanous nerve(LFCN). Methods The patients were diagnosed as the entrapment syndrome of LFCN with application of somatosenory eroked potenital (SEP) and treated by local block and sergery for those who could not be cured by local block. Results The greater part of the 19 cases treated by local block fully recovered. Only 3 cases healed by surgical treatment. Conclusions The diagnosis of LFCN mainly depend on symptoms, signs. The SEP can benefit the diagnosis of LFCN entrapment Both consenative and surgical treatment show effects.