糖尿病新世界
糖尿病新世界
당뇨병신세계
Diabetes New World
2015年
17期
106-108
,共3页
糖尿病%周围神经病变%周围神经减压术%手术适应症%手术步骤
糖尿病%週圍神經病變%週圍神經減壓術%手術適應癥%手術步驟
당뇨병%주위신경병변%주위신경감압술%수술괄응증%수술보취
Diabetes%Peripheral neuropathy%Peripheral nerve decompression%Surgical indications%Surgical procedures
周围神经减压术是在20世纪80年代由美国周围神经外科协会原主席、霍普金斯大学医学院神经外科和整形外科Dellon教授发明的,是针对性解决下肢或上肢神经病变的一种手术。当糖尿病周围神经病变患者符合手术指征和手术时机时,对下肢周围神经病变者常采用腓总神经、腓深神经、胫神经松解三联手术,对上肢周围神经病变者常采用正中神经、尺神经和桡神经感觉支减压三联手术。同时作者结合文献阐述了腓总神经、腓深神经、胫神经松解三联手术和正中神经、尺神经(肌下转位)显微减压术的基本步骤,归纳总结了国内与周围神经减压术治疗糖尿病周围神经病变有关的基础研究和临床研究文献,以达到改善患者生活质量、预防糖尿病足和避免截肢的目的。
週圍神經減壓術是在20世紀80年代由美國週圍神經外科協會原主席、霍普金斯大學醫學院神經外科和整形外科Dellon教授髮明的,是針對性解決下肢或上肢神經病變的一種手術。噹糖尿病週圍神經病變患者符閤手術指徵和手術時機時,對下肢週圍神經病變者常採用腓總神經、腓深神經、脛神經鬆解三聯手術,對上肢週圍神經病變者常採用正中神經、呎神經和橈神經感覺支減壓三聯手術。同時作者結閤文獻闡述瞭腓總神經、腓深神經、脛神經鬆解三聯手術和正中神經、呎神經(肌下轉位)顯微減壓術的基本步驟,歸納總結瞭國內與週圍神經減壓術治療糖尿病週圍神經病變有關的基礎研究和臨床研究文獻,以達到改善患者生活質量、預防糖尿病足和避免截肢的目的。
주위신경감압술시재20세기80년대유미국주위신경외과협회원주석、곽보금사대학의학원신경외과화정형외과Dellon교수발명적,시침대성해결하지혹상지신경병변적일충수술。당당뇨병주위신경병변환자부합수술지정화수술시궤시,대하지주위신경병변자상채용비총신경、비심신경、경신경송해삼련수술,대상지주위신경병변자상채용정중신경、척신경화뇨신경감각지감압삼련수술。동시작자결합문헌천술료비총신경、비심신경、경신경송해삼련수술화정중신경、척신경(기하전위)현미감압술적기본보취,귀납총결료국내여주위신경감압술치료당뇨병주위신경병변유관적기출연구화림상연구문헌,이체도개선환자생활질량、예방당뇨병족화피면절지적목적。
The peripheral nerve decompression was invented by the former chairman of the Department of Neurosurgery, the Department of neurosurgery and plastic surgery professor at the University of medicine, Hopki, in the 80's in twentieth Cen-tury, and it is a surgical procedure for solving the disease of the lower extremity and upper limb. When diabetic peripheral neuropathy patients meet the surgical indications and timing of surgery, the peripheral nerve lesions of the lower limbs are often used in the treatment of peripheral nerve, deep nerve, tibial nerve, and the nerve, ulnar nerve and radial nerve were used in the treatment of peripheral nerve lesions. At the same time, the basic steps of the microsurgical decompression of the nerve, the nerve, the nerve and the ulnar nerve (muscle) were summarized. The basic research and clinical research lit-erature on the treatment of diabetic peripheral neuropathy were summarized.