【摘要】 目的 了解嗜酸性筋膜炎与腕管综合征的关系。方法 总结6例(男5例,女1例,平均年龄35.5岁)嗜酸筋膜炎合并腕管综合征的病例,就其发病机理,治疗及预后进行讨论。结果 4例行腕管切开,正中神经松解术,2例用药物治疗。治疗后患者的神经卡压症状缓解,全身症状消失。治疗后2例失访,4例随访14-38个月。患者全身症状及神经卡压症状均未复发。结论 由嗜酸性筋膜炎所致的腕管综合征与一般常见原因引起的腕管综合征不同,单纯手术减压效果不理想,需配合药物治疗方可缓解症状。更多还原

【Abstract】 Objective To study the relationship between the carpal tunnel syndrome and eosinophilic fasciitis. Methods Six cases (male 5 cases, female 1 case, mean age 35,5) of eosinophilic fasciitis were involved in the study. The mechanism, treatment and prognosis were discussed. Results Section of carpal tunnel and neurolysis of median nerve were carried out in 4 cases, drag therapy was done in 2. The symptom of median nerve entrapment was relieved. The general symptoms disappeared completely. The follow-up ranged from 14 to 38 months in 4 cases with 2 in loss. There was no recurrence of general symptoms and nerve compression. Conclusion The carpal tunnel syndrome caused by eosinophilic fasciitis is different from that resulted from common one. The result of simple decompression is unsatisfactory. Surgical intervention combined with drug therapy can relieve the syndrome.更多还原