神經(jīng)卡壓綜合癥神經(jīng)卡壓綜合癥1神經(jīng)卡壓綜合癥●定義是指周圍神經(jīng)受到其周圍組織的壓迫,而引起疼痛、感覺障礙、運(yùn)動(dòng)障礙、電生理學(xué)改變。神經(jīng)卡壓綜合癥2神經(jīng)卡壓綜合癥●病因病理1解剖性2姿勢性。3發(fā)育性。4炎癥性5創(chuàng)傷性。6代謝性。7腫瘤8醫(yī)源性。神經(jīng)卡壓綜合癥3神經(jīng)卡壓綜合癥●神經(jīng)損傷類型1機(jī)能性麻痹:是一種神經(jīng)傳導(dǎo)障礙無末梢變性2軸突斷裂:是一種神經(jīng)纖維損傷,神經(jīng)鞘無明顯損傷。3神經(jīng)斷損:是神經(jīng)部分或全部斷裂神經(jīng)卡壓綜合癥4神經(jīng)卡壓綜合癥●l臨床常見的神經(jīng)卡壓綜合癥胸出口綜合癥、旋后肌綜合癥、旋前園肌綜合癥、腕管綜合癥、腕尺管綜合癥肘管綜合癥、梨狀肌綜合癥、小腿肌間隔綜合癥、跗管綜合癥等。其中以上肢周圍神經(jīng)受壓為多見神經(jīng)卡壓綜合癥5神經(jīng)卡壓綜合癥●臨床表現(xiàn)疼痛、感覺障礙、運(yùn)動(dòng)障礙、電生理學(xué)改變神經(jīng)卡壓綜合癥6腕管綜合癥●定義由于正中神經(jīng)在腕管內(nèi)受壓而造成大魚際肌無力和正中神經(jīng)支配區(qū)的疼痛、麻木及進(jìn)行性魚際肌菱縮。又稱遲發(fā)性正中神經(jīng)麻痹。腕管綜合癥7腕管綜合癥●發(fā)病特點(diǎn)多見于40歲以上婦女,女:男=2-41。雙測發(fā)病者約占1/2-1/3,女:男=9腕管綜合癥8腕管綜合癥●解剖腕管為一骨性纖維管撓側(cè):舟狀骨和大多角骨尺側(cè):豌豆骨和鉤骨背側(cè):頭狀骨、月骨和小多角骨掌側(cè):腕橫韌帶。腕管內(nèi)通過的有拇長屈肌腱、指淺屈肌腱、指深屈肌腱、正中神經(jīng)。腕管綜合癥9腕管綜合癥●病因病理病因:1腕管容量減小2腕管內(nèi)容物增加。3解剖異常4正中動(dòng)脈壓迫。5腕管內(nèi)出血。6其他。腕管綜合癥10神經(jīng)卡壓綜合癥課件整理_00211神經(jīng)卡壓綜合癥課件整理_00212神經(jīng)卡壓綜合癥課件整理_00213神經(jīng)卡壓綜合癥課件整理_00214神經(jīng)卡壓綜合癥課件整理_00215神經(jīng)卡壓綜合癥課件整理_00216神經(jīng)卡壓綜合癥課件整理_00217神經(jīng)卡壓綜合癥課件整理_00218神經(jīng)卡壓綜合癥課件整理_00219神經(jīng)卡壓綜合癥課件整理_00220神經(jīng)卡壓綜合癥課件整理_00221神經(jīng)卡壓綜合癥課件整理_00222神經(jīng)卡壓綜合癥課件整理_00223神經(jīng)卡壓綜合癥課件整理_00224神經(jīng)卡壓綜合癥課件整理_00225神經(jīng)卡壓綜合癥課件整理_00226神經(jīng)卡壓綜合癥課件整理_00227神經(jīng)卡壓綜合癥課件整理_00228神經(jīng)卡壓綜合癥課件整理_00229神經(jīng)卡壓綜合癥課件整理_00230神經(jīng)卡壓綜合癥課件整理_00231神經(jīng)卡壓綜合癥課件整理_00232神經(jīng)卡壓綜合癥課件整理_00233神經(jīng)卡壓綜合癥課件整理_00234神經(jīng)卡壓綜合癥課件整理_00235神經(jīng)卡壓綜合癥課件整理_00236神經(jīng)卡壓綜合癥課件整理_00237神經(jīng)卡壓綜合癥課件整理_00238神經(jīng)卡壓綜合癥課件整理_00239神經(jīng)卡壓綜合癥課件整理_00240神經(jīng)卡壓綜合癥課件整理_00241神經(jīng)卡壓綜合癥課件整理_00242神經(jīng)卡壓綜合癥課件整理_00243神經(jīng)卡壓綜合癥課件整理_00244神經(jīng)卡壓綜合癥課件整理_00245神經(jīng)卡壓綜合癥課件整理_00246神經(jīng)卡壓綜合癥課件整理_00247神經(jīng)卡壓綜合癥課件整理_00248神經(jīng)卡壓綜合癥神經(jīng)卡壓綜合癥49神經(jīng)卡壓綜合癥●定義是指周圍神經(jīng)受到其周圍組織的壓迫,而引起疼痛、感覺障礙、運(yùn)動(dòng)障礙、電生理學(xué)改變。神經(jīng)卡壓綜合癥50神經(jīng)卡壓綜合癥●病因病理1解剖性2姿勢性。3發(fā)育性。4炎癥性5創(chuàng)傷性。6代謝性。7腫瘤8醫(yī)源性。神經(jīng)卡壓綜合癥51神經(jīng)卡壓綜合癥●神經(jīng)損傷類型1機(jī)能性麻痹:是一種神經(jīng)傳導(dǎo)障礙無末梢變性2軸突斷裂:是一種神經(jīng)纖維損傷,神經(jīng)鞘無明顯損傷。3神經(jīng)斷損:是神經(jīng)部分或全部斷裂神經(jīng)卡壓綜合癥52神經(jīng)卡壓綜合癥●l臨床常見的神經(jīng)卡壓綜合癥胸出口綜合癥、旋后肌綜合癥、旋前園肌綜合癥、腕管綜合癥、腕尺管綜合癥肘管綜合癥、梨狀肌綜合癥、小腿肌間隔綜合癥、跗管綜合癥等。其中以上肢周圍神經(jīng)受壓為多見神經(jīng)卡壓綜合癥53神經(jīng)卡壓綜合癥●臨床表現(xiàn)疼痛、感覺障礙、運(yùn)動(dòng)障礙、電生理學(xué)改變神經(jīng)卡壓綜合癥54腕管綜合癥●定義由于正中神經(jīng)在腕管內(nèi)受壓而造成大魚際肌無力和正中神經(jīng)支配區(qū)的疼痛、麻木及進(jìn)行性魚際肌菱縮。又稱遲發(fā)性正中神經(jīng)麻痹。腕管綜合癥55腕管綜合癥●發(fā)病特點(diǎn)多見于40歲以上婦女,女:男=2-41。雙測發(fā)病者約占1/2-1/3,女:男=9腕管綜合癥56腕管綜合癥●解剖腕管為一骨性纖維管撓側(cè):舟狀骨和大多角骨尺側(cè):豌豆骨和鉤骨背側(cè):頭狀骨、月骨和小多角骨掌側(cè):腕橫韌帶。腕管內(nèi)通過的有拇長屈肌腱、指淺屈肌腱、指深屈肌腱、正中神經(jīng)。腕管綜合癥57腕管綜合癥●病因病理病因:1腕管容量減小2腕管內(nèi)容物增加。3解剖異常4正中動(dòng)脈壓迫。5腕管內(nèi)出血。6其他。腕管綜合癥58神經(jīng)卡壓綜合癥課件整理_00259神經(jīng)卡壓綜合癥課件整理_00260神經(jīng)卡壓綜合癥課件整理_00261神經(jīng)卡壓綜合癥課件整理_00262神經(jīng)卡壓綜合癥課件整理_00263神經(jīng)卡壓綜合癥課件整理_00264神經(jīng)卡壓綜合癥課件整理_00265神經(jīng)卡壓綜合癥課件整理_00266神經(jīng)卡壓綜合癥課件整理_00267神經(jīng)卡壓綜合癥課件整理_00268神經(jīng)卡壓綜合癥課件整理_00269神經(jīng)卡壓綜合癥課件整理_00270神經(jīng)卡壓綜合癥課件整理_00271神經(jīng)卡壓綜合癥課件整理_00272神經(jīng)卡壓綜合癥課件整理_00273神經(jīng)卡壓綜合癥課件整理_00274神經(jīng)卡壓綜合癥課件整理_00275神經(jīng)卡壓綜合癥課件整理_00276神經(jīng)卡壓綜合癥課件整理_00277神經(jīng)卡壓綜合癥課件整理_00278神經(jīng)卡壓綜合癥課件整理_00279神經(jīng)卡壓綜合癥課件整理_00280神經(jīng)卡壓綜合癥課件整理_00281神經(jīng)卡壓綜合癥課件整理_00282神經(jīng)卡壓綜合癥課件整理_00283神經(jīng)卡壓綜合癥課件整理_00284神經(jīng)卡壓綜合癥課件整理_00285神經(jīng)卡壓綜合癥課件整理_00286神經(jīng)卡壓綜合癥課件整理_00287神經(jīng)卡壓綜合癥課件整理_00288神經(jīng)卡壓綜合癥課