桡神经非创伤性神经束扭转的临床研究

目的探讨桡神经非创伤性神经束扭转的发病机理和治疗结果。方法结合5例临床桡神经非创伤性神经束扭转患者病史、术中发现、病理结果及治疗经过，对该病的发病机制及治疗方法进行初步探讨。结果5例桡神经非创伤性神经束扭转患者在临床表现及术中所见均与典型周围神经嵌压患者不同，积极手术干预，临床效果满意。结论周围神经的螺旋样结构及其滋养血管的炎症表现是导致非创伤性神经束扭转的两个重要原因。

Clinical Research of Non-traumatic Nerve Fascicle Torsion of the Radial Nerve

Objective To explore the mechanism and therapeutic results of non-traumatic nerve fascicle torsion of the radial nerve. Methods The history,clinical finding during surgery,gross pathology found and therapeutic results in 5 cases were analyzed. The mechanism and therapeutic method were explored. Results The pathology and clinical manifestation of non-traumatic nerve fascicle torsion were different from nerve entrapment. Active surgical operation should be undertaken and the clinical results were satisfactory. Conclusion The spiral structure and inflammation of the nourishing vessel of peripheral nerve are the two important pathogenic factors for the non-traumatic nerve fascicle torsion.