腓骨肌管综合征的解剖与临床研究

发布时间：2018-05-11 22:19

本文选题：腓总神经 + 腓骨肌管综合征　；参考：《吉林大学》2008年硕士论文

【摘要】： 腓骨肌管综合征是临床上一种常见的疾病,指腓骨肌管内占位性病变导致容积减少,压迫腓总神经而引起一系列症状,诸如麻木、功能障碍等。传统的手术方法是切开腓骨长肌起始部纤维和腓骨肌管内的占位性病变。我们通过解剖发现,腓骨肌管为相对致密的骨—纤维隧道,腓总神经在腓骨肌管内走行呈弧形,位置相对固定,移动性较差,横径较乆窝外侧沟处明显增粗,周围结缔组织丰富,尤以腓浅神经与腓深神经分叉点处明显。临床上对56例腓骨肌管综合征的患者进行手术治疗,经过术后1年零3个月～9年零5个月的随访,术后根据Kelly疗效评定方法评价[27],术后功能恢复优良率为91.2%。其中41例(病史1个月～18个月)感觉运动恢复正常,2例(病史均超过1年)足背伸活动未恢复,2例(病史均超过1年)足背皮肤温痛觉未恢复。由此可见腓浅神经与腓深神经分叉点处是腓骨肌管综合征的易卡部位;对该疾病的早期发现,合理充分的早期检查、诊断和侧底的松解是提高腓骨肌管综合征患者预后的重要保证。
[Abstract]:The fibula myotubular syndrome is a common disease in the clinic. It refers to the reduction of the volume of the peroneal myovascular lesions, the compression of the peroneal nerve and a series of symptoms, such as numbness and dysfunction. The traditional method of operation is to open up the occupying lesions in the initial fibula muscle and the fibula myotubes. We find through anatomy, The fibula muscle tube is a relatively compact bone fiber tunnel. The peroneal nerve is curved in the fibula muscle tube. The position is relatively fixed and the mobility is poor. The transverse diameter is obviously thicker than the lateral groove of the fossa. The surrounding connective tissue is rich, especially at the bifurcation point of the superficial peroneal and peroneal nerves. 56 patients with fibula myotube syndrome are clinically entered. After 1 years of 1 years from 3 months to 9 years and 5 months after operation, [27] was evaluated according to the evaluation method of curative effect. The good rate of postoperative functional recovery was 41 (1 months to 18 months) of 91.2%., 2 cases (more than 1 years), 2 cases (more than 1 years), 2 cases (more than 1 years) It can be seen that the bifurcation of the superficial peroneal nerve and the deep peroneal nerve is an easy part of the fibula myotube syndrome. Early detection of the disease, a reasonable and adequate early examination, diagnosis and the release of the lateral bottom are an important guarantee for the improvement of the prognosis of the fibula myotube syndrome.

【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2008
【分类号】：R322;R688

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