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- Guyon's Canal Syndrome: Ulnar Nerve Compression at the Wrist
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題名 | Guyon's Canal Syndrome: Ulnar Nerve Compression at the Wrist=手腕關節處尺神經壓迫:蓋氏通道症候群 |
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作者 | 徐永康; 張明超; 劉毅; | 書刊名 | 中華民國重建整形外科醫學會雜誌 |
卷期 | 3:4 1994.12[民83.12] |
頁次 | 頁187-192 |
分類號 | 416.615 |
關鍵詞 | 手腕關節; 尺神經壓迫; 蓋氏通道症候群; Guyon's canal syndrome; Ulnar nerve entrapment; |
語文 | 英文(English) |
中文摘要 | 蓋氏通道症候群(Guyon's Canal Syndrome)是相當少見的一種疾病,造成它的原因是尺神經在手腕關節處通過尺隧道(Ulnar Tunnel)時受到壓迫所引起。它會引起手部尺神經所分佈的範圍肌肉萎縮和感覺喪失。蓋氏通道症候群的原因包含許多內在和外在的因素。例如腫瘤,解剖上的異常,外傷,血管病變,和關節炎。臨床上將蓋氏通道症候群分成三大類。第一大類(Type I)合併有運動和感覺異常。第二類(Type II)只有運動異常,第三類(Type III)只有感覺異常。診斷可經由臨床表現,神經傳導速度(NCV),和肌電圖(EMG)等神經學檢查來確定診斷,外科手術治療和尺神經減壓術可以得到良好的治療效果。 本篇文章收集了從1983年6周到1993年8月10年間共16位蓋氏症候群的病患,分析他們的分類,原因,診斷,治療,和結果並加以討論。 |
英文摘要 | Guyon's canal syndrome is a relatively uncommon condition resulting from compression of the ulnar nerve as it passes through the ulnar tunnel in the wrist. Thesyndrome may cause weakness and atrophy of the intrinsic hand muscles and loss ofsensation in the ulnar nerve distribution area of the hand. Etiology of Guyon's canalsyndrome including various intrinsic and extrinsic factors, they are tumors, anatomicabnormalities, trauma, vascular pathology and arthritis. Guyon's canal syndromecan be classified into three types. In the type I syndrome, the combined motor andsensory dysfunction. In the type II syndrome, motor function is affected alone. Inthe type III sydrome, sensory function is affected alone. The diagnosis can be madeon the clinical picture, nerve conduction velocity (NCV) , and electromyography (EMG) . Surgical treatment with ulnar nerve decompression will lead to good result. Here we report 16 cases of Guyon's canal syndrome underwent surgical intervention from June 1983 to August 1993. The diagnosis, classification, etiology.treatment, result of this disease and associated literatures are reviewed. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。