Đánh giá kết quả phẫu thuật điều trị hội chứng Guyon tại Bệnh viện Thống Nhất=The results of to treat Guyon's syndrome surgery at Thong Nhat Hospital

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Tác giả: Trọng Sỹ Nguyễn, Thành Toàn Võ

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Y học Cộng đồng, 2024

Mô tả vật lý: tr.217-221

Bộ sưu tập: Metadata

ID: 253076

Thêm vào giỏ

Đánh giá kết quả phẫu thuật điều trị hội chứng Guyon tại Bệnh viện Thống Nhất.Đối tượng và phương pháp nghiên cứu: Gồm 9 bệnh nhân bị hội chứng Guyon tại khoa chấn thương chỉnh hình Bệnh viện Thống Nhất từ 01/2019 - 1/2024. Kết quả: Sự cải thiện sau phẫu thuật ở tất cả các thông số lâm sàng và EMG là đáng kể. Tất cả trừ một bệnh nhân (90%) đều cho thấy các triệu chứng được cải thiện sau phẫu thuật
mặt khác, tình trạng suy giảm nghiêm trọng dẫn truyền thần kinh vận động trước phẫu thuật đã ảnh hưởng lớn đến chức năng vận động sau phẫu thuật. Hội chứng kênh Guyon chiếm 0,8% trong tất cả các bệnh lý thần kinh chèn ép ở chi trên ở bệnh nhân của chúng tôi.Kết luận: Hội chứng ống Guyon có thể điều trị dễ dàng bằng phẫu thuật. Giống như các hội chứng chèn ép khác, việc giải nén bằng phẫu thuật được thực hiện càng sớm thì kết quả sẽ càng tốt hơn.The results of surgery to treat Guyon’s syndrome at Thong Nhat Hospital.Subjects and research methods:A research study was conducted in 9 patients operated on for compressive neuropathies of the ulnar nerve in the canal of Guyon at the orthopedic trauma department of Thong Nhat Hospital from 01/2019 to 01/2024.Results: Post-operative improvements in all clinical and EMG parameters were significant. All but one patient (90%) showed improvement in symptoms after surgery
on the other hand, pre-operative severe impairment of motor nerve conduction highly affected the post-operative motor function. Guyon’s canal syndrome accounted for 0.8% of all compressive neuropathies of the upper extremity in our patients.Conclusion:Syndrome of Guyon’s canal can easily be treated by surgery. As in other compression syndromes, the sooner a surgical decompression is performed, the better outcomes are achieved.

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