股前皮神经痛的诊断与治疗的局部解剖学基础

目的介绍对股前皮神经痛诊治的经验。方法收集我院门诊2001年10月至2009年9月间在软组织病痛患者中诊断为股前皮神经痛者67例，采用强的松龙25mg加2％利多卡因5mL和生理盐水5mL注射至神经穿出股前部阔筋膜处的方法治疗。结果所有病例皆在注射后10min内止痛。麻药作用后多数表现较轻度疼痛。50例1周后痊愈，10例经第二次注射后痊愈，6例经第三次注射后痊愈。1例经6次注射后仅有改善。结论股前皮神经痛的诊断依据是按其痛觉改变区域与神经的分布区一致决定。采用强的松龙局部注射的疗效较为理想，不失为首选的治疗方法。

Anatomical bases of diagnosis and treatment for the anterior femoral cutaneous nerve neuralgia

Objective To introduce the experience of diagnosis and treatment for the anterior femoral cutaneous nerve neuralgia. Methods 67cases with the anterior femoral cutaneous nerve neuralgia were collected in patients of soft tissue diseases in our outpatient department from October 2001 to Septmber 2009. All of the 67 cases were injected with 25 mg prednisolone plus 5 mL 2% lidocaine and 5 mL normal saline to the fascia lata where the nerve is passing through . Results Pain was stopped within 10 minutes after injection in all cases. After the action of the anesthetics was over, the pain of most cases was reappeared in milder degree than before . 50 cases recovered one week later. 10 cases recovered after the second injection with one week interval. 6 cases recovered after a third injection . Only one case was not completely recovered after six injections. Conclusion The diagnosis depended upon the coincidence of the sensory change area and the territory of the cutaneous distribution of the nerve . The effect of local injection of prednisolone is almost better and could be regarded as the first line treatment for the anterior femoral cutaneous nerve neuralgia.