Objective To review the cause, clinical feature and treatment effect for spontaneous paralysis of the radial nerve. Methods During 2000 and 2008, 27 patients (21 male and 6 female) aged from 8 to 65 years old (mean age: 36 years old) suffered paralysis of the radial nerve were referred to our hospital. Neurolysis was conducted in 23 cases, nerve grafting in 3 cases and neurorrhaphy in 1 case. Results In the 23 cases, the cause of the palsy included arch of the Frohse (8 cases) , lateral head of the triceps (1 case) , recurrent artery of the radial artery (1 case) , lateral septum (8 cases) and mass (1 case), but the left 8 cases had no obvious causes. In 23 cases with neurolysis, 15 cases recovered good function. In 4 cases with nerve repair, 3 cases recovered good function. Conclusions The cause of spontaneous paralysis of the radial nerve is diversified. Symptomatic treatments such as surgical treatment can harvest good recovery.%目的 对自发性桡神经麻痹的病因、临床表现及治疗结果进行分析.方法 从2000年至2008年,对27例自发性桡神经麻痹患者进行手术治疗,其中男性21例,女性6例；发病年龄8～65岁,平均36岁.对23例患者进行了松解,1例切除病变段神经后直接吻合神经,3例切除病变段神经后因有缺损,进行了神经移植.结果 术中发现Frohse弓卡压8例,三头肌外侧头卡压1例,桡返动脉分支卡压1例,外侧肌间隔处卡压8例,肿块卡压1例,无明显外在卡压8例.23例行神经松解的患者中,15例功能完全恢复,3例功能部分恢复,5例无效.4例行神经修复患者中,3例功能恢复,1例无效.结论 自发性桡神经麻痹病因多样,针对性的治疗措施如手术治疗可达到较好效果.
展开▼
