小儿前骨间神经嵌压综合征

The anterior interosseous nerve compression syndrome in children

目的 :为进一步认识小儿前骨间神经嵌压综合征的诊断与治疗。方法 :对 3例小儿前骨间掌侧神经嵌压综合征(其中异常纤维束骑跨前骨间神经嵌压神经 1例 ,尺骨近端骨软骨瘤向前挤压前骨间神经 1例 ,腱鞘囊肿压迫前骨间神经 1例 ) ,均采用手术方法解除嵌压因素 ,彻底神经松解 ,并对与本病有关的局部解剖、病因、临床表现、特殊检查和治疗进行讨论分析。结果 :经 3个月～ 4a随访 ,3例病人手指功能完全恢复。结论 :本病确诊后 ,经 6～ 8周保守治疗 ,手指功能无明显改善。

Objective To improve the comprehensi acknowledgement of children's anterior interosseous nerve compression syndrome based on the analysis of its topography,cause of disease,clinical manifestation,special examination and therapy.Methods Three children with anterior interosseous nerve compression syndrome were found oppressed by abnormal fibrous zone in 1 cases,compressed by osteochondroma in proximal ulna in 1 cases and compressed by thecal cyst in 1 case.All 3 cases were treated through decompression and neurolysis.Results All 3 cases had complete functional reduction.Conclusion The immediate operation is recommended if functional reductory is dissatisfactory after 6～8 weeks' conservation treatment.