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为了解桡神经浅支在前臂卡压的解剖学基础与临床表现 ,掌握该征的诊断与治疗原则 ,解剖了 2 0具 40例成人上肢标本 ,观测桡神经浅支穿出处的局部特点及其距桡骨茎突的距离 ;对 15例桡神经浅支卡压的患者进行临床分析、治疗并随访。结果显示 :桡神经浅支穿出部位为腱性组织所包绕 ,该处筋膜与肱桡肌肌腱挤在一起 ,易受压 ;15例患者经保守治疗 ( 12例 )、手术治疗 ( 3例 ) ,症状消失无复发。认为桡神经浅支在前臂中下段易发生卡压有其解剖学基础 ,在临床工作中遇到腕背痛的患者应考虑到该征的存在 ,从而采取积极有效的治疗
In order to understand the anatomic foundation and clinical manifestations of radial nerve superficial compression in the forearm and to master the diagnosis and treatment principles of this syndrome, 40 adult adult upper limbs specimens were dissected to observe the local features of radial nerve superficial branches The distance from the styloid process to the radial styloid process; 15 cases of radial nerve cardioplegia were analyzed clinically, followed up. The results showed that the superficial branch of the radial nerve was surrounded by tendon tissue, where the fascia and tendon of the brachioradialis were squeezed together and were easily compressed. Fifteen patients underwent conservative treatment (12 cases), surgical treatment Cases), no recurrence of symptoms disappeared. That the superficial branch of the radial nerve in the forearm prone to compression has its anatomical basis in the clinical work of patients with recurrent wrist pain should take into account the existence of the sign to take active and effective treatment