Microsurgical peripheral nerve decompression for the treatment of painful diabetic peripheral neuropathy
10.3760/cma.j.issn.115807-20190328-00064
- VernacularTitle:周围神经显微减压术治疗痛性糖尿病周围神经病变
- Author:
Zhang ZHANG
1
;
Mingbo FAN
;
Mengzhu LI
;
Lei WANG
Author Information
1. 华中科技大学同济医学院附属武汉中心医院神经外科；武汉市临床医学研究中心，武汉 430000
- From:Chinese Journal of Endocrine Surgery
2020;14(3):233-236
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical application and efficacy of microsurgical peripheral nerve decompression in the treatment of painful diabetic peripheral neuropathy (PDPN) .Methods:From Sep. 2017 to Jun. 2018, 33 PDPN patients of our department were treated with DELLON microsurgical peripheral nerve decompression. All surgeries were assisted with neuroelectrophysiological monitoring during the operation and were followed up for 0.5 to 1 years. Electromyography and VAS pain scores were performed 0.5 years before and after surgery, and the preoperative and postoperative results were compared.Results:Postoperative electromyography showed that sensory nerve conduction velocity (SNCV) was significantly improved compared with preoperative ( P<0.05) , while the postoperative VAS score (4.6±1.8) was significantly lower than that (8.3±2.6) of before ( P<0.05) . Conclusions:Microsurgical peripheral nerve decompression is an effective therapeutic method for PDPN. Intraoperative electrophysiological monitoring can effectively avoid iatrogenic nerve injury. Neurophysiological examination can be used as an objective evidence for definitive diagnosis and evaluation of surgical outcomes.
