是否切除正中神经脂肪纤维瘤。

Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery Pub Date : 2009-01-01 DOI:10.1080/02844310701822826

Toru Yamauchi, Takashi Yoshii, Takeo Sempuku

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引用次数: 9

摘要

一个28岁的男人提出了脂肪纤维瘤的正中神经的左手。我们解除了腕管，做了神经松解术，正中神经活检，同时对前臂进行了远端筋膜切开术。手术后2年，中指的感觉异常有所改善，但程度仍较轻。治疗的最初考虑应该是活检和减轻压迫性神经病变，而不是完全切除。

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Whether to excise a lipofibroma of the median nerve.

A 28-year-old man presented with a lipofibroma of the median nerve of the left hand. We released the carpal tunnel, did a neurolysis, and biopsied of the median nerve together with a distal fasciotomy of the forearm. Two years after the operation, the paraesthesiae of the middle finger had improved but was still present to a lesser degree. Initial considerations about treatment should be directed toward biopsy and alleviation of the compression neuropathy, rather than total excision.

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来源期刊

Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery 医学-外科

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