神经束膜切开术治疗严重的神经卡压症

对13例严重的神经卡压综合症患者采用束膜切开术治疗，术后6～56个月的随访结果，优8例，良3例，可1例。认为在受严重卡压时，神经束膜会发生显著的病理改变，不仅不能完成其生理功能，而且可能成为继发的卡压因素。因此只有切开束膜，神经纤维才能获得完全减压。本组病例近期和远期的疗效则从临床实践方面证实，束膜切开对其本身功能的恢复和维持无不利影响。

Treatment of Serious Nerve Entrapment Syndrome by Perineurial Incisional Decompression of the Nerve

Thirteen cases of serious nerve entrapment syndrome treated by perineural incision to decompress the nerve was reported. The follow-up from 6 to 56 months postoperatively showed that 8 of them had excellent results, 3 to be good and 1 to be fair. We believe that marked pathological changes may occur in the perineurium when the nerve is severely compressed, so that the perineurium can no longer perform its physilogical function but probably turns into a secondary compressive factor. Only by incision of the perineurium the nerve fibres can be completely decompressed. Both short-term and long-term curative effecs were proved in our clinical practice. On the other hand, incision of the perineurium would not result in any harmful influence on the recovery and maintenance of the function of the nerve.