双重和多重压缩综合征的患病率在外科治疗外围神经压缩在上肢的患者中
Geraldine Kong1, Jean Paul Brutus2, Thiên-Trang Vo2
1Hamad Medical Corporation, Dept. of Orthopedic Surgery, Doha, Qatar.
Hand surgery & rehabilitation
|September 15, 2023
概括
双重压缩综合征,涉及多次神经压缩,在上肢非常普遍. 常规评估至关重要,以避免错误诊断,并确保对中介神经病变等疾病的适当治疗.
科学领域:
- 整形外科 整形外科 整形外科
- 神经学 神经学
- 手术研究的研究.
背景情况:
- 双重压综合征涉及多焦点神经被困.
- 带道综合征是中介神经病变的常见假设.
- 靠近神经的压缩往往被忽视.
研究的目的:
- 为了确定外周上肢神经压缩的患病率.
- 在接受神经减压的患者中分析双重压缩综合征的发生情况.
主要方法:
- 183名接受外周神经减压治疗的患者的前景病例系列.
- 通过病史和体检,分析中枢,腹和辐射神经压缩水平.
- 单个和联合的神经压缩综合征的患病率分析.
主要成果:
- 在78%的中枢神经病例中发现了中枢神经的双重压伤 (纤维状和手掌道).
- 孤立的乳和手掌道综合征较少发生 (5%和17%).
- 立方体道综合征发生在12.5%的患者中,其中80%的患者同时出现中枢神经压缩.
结论:
- 双重压缩综合征的高患病率需要进行例行临床评估.
- 双击综合征的早期诊断和治疗可以防止误诊,复发和修复手术.
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