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 somato-senory evoked potential(SEP) and treated by local block and surgery for those who failed to response to local block treatment. Results The majority of the 19 cases treated by local block fully recovered. Only 3 cases(5.7% )had surgery. Conclusion The diagnosis of LFCN mainly depends on symptoms,signs;SEP can benefit the diagnosis of LFCN entrapment. Both conservative and surgical treatment are helpful for the treatment.