27. ĐÁNH GIÁ KẾT QUẢ PHẪU THUẬT ĐIỀU TRỊ HỘI CHỨNG GUYON TẠI BỆNH VIỆN THỐNG NHẤT

Abstract

Objective: 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.