目的:探讨自身压迫致周围神经损伤的临床特点.方法:回顾性分析12例自身压迫致周围神经损伤患者的临床资料.结果:本组患者均为急性起病,因饮酒后睡眠中上肢受压至桡神经损害9例,因长时间(22-25h)下蹲至两侧胫神经损害3例;肌电图检查均为神经源性损害,神经电生理检查示6例右侧、3例左侧挠神经和3例两侧胫神经的远端运动潜伏期延长、复合动作电位波幅降低,感觉传导速度和运动传导速度明显减慢.所有患者均给予糖皮质激素、神经营养药和扩血管药治疗.治疗后,9例桡神经损害的患者中7例基本痊愈,2例显著好转;3例两侧胫神经损害的患者中2例好转,1例无效.结论:自身压迫致周围神经损伤的病因有特殊性,起病急;及时用糖皮质激素治疗效果好,大多预后较好.%Objective To explore the clinical featrues of the peripheral nerve injury induced by own compressive. Methods The clinical datas of 12 patients with peripheral nerve injury induced by own compressive were analyzed retrospectively. Results All the patients were acute onset. The radial nerves of 9 cases were injured by unilateral compression in sleep after alcohol drinking. The bilateral tibial nerves of 3 cases were injured by long time squat position. The electromyogram examination showed neurology damage in the all patients. The distal moving latency prolonged, the compound muscle action potential amplitude decreased, and the sensory conduction velocity and motor conduction velocity obviously slowed in the rirgt radial nerves of 6 cases, left radial nerves of 3 cases and bilateral tibial nerves of 3 cases. All the patients were treated by glucocorticoid, neurotrophic and expanding vascular drugs. After treatment, 7 cases were fundamental recovery, and 2 cases were obviously improved in the 9 patients with radial nerves injury; while 2 cases were improved, and 1 case had no effect in the 3 patients with bilateral tibial nerves injury. Conclusions The causes of disease have speciality in the patients with peripheral nerve injury induced by own compressive, and they are often acute onset. The treatment of glucocorticoid in time is effective, the most of patients may have good prognosis.
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