摘要
目的 探讨尺神经松解加肌下前置术治疗肘管综合征的有效性。方法 观测 2 0侧成人尸体上肢标本及 32例患者尺神经移置前后的解剖变化 ,临床应用 32例。结果 尺侧上副动脉可与尺神经一同前置 ;皮下前置伸肘位时尺神经易受牵拉 ,肌下前置伸、屈肘时均不受牵拉 ;新肘管可充分容纳尺神经。32例中获完整随访 2 6例 ,随访期 1～ 3年 ,16例 (6 1 5 % )恢复正常。结论 尺神经松解加肌下前置术为治疗肘管综合征较佳术式。
Objective To investigate effect of ulnar nerve compression and anterior submuscular transposition in the treatment of cubit tunnel syndrome.Methods 20 cubituses of adult cadavers and 32 patients were dissected,and the anatomical characteristics of the elbow and ulnar nerve were observed before and after ulnar nerve submuscular or subcutaneous transposition. The procedure was used in 32 patients. Results Superior ulnar collateral artery could be transposed with ulnar nerve;new cubit tunnel was wide enough to contain ulnar nerve;when elbow was extended the ulnar nerve would be pulled in subcutaneous transposition.However,in submuscular, it would not. 26 patients were followed up for 1 to 3 years, 61 5% recovered normal. Conclusion Ulnar nerve anterior submuscular transposition is a better method for treating cubit tunnel syndrome.
出处
《临床骨科杂志》
2000年第2期85-86,共2页
Journal of Clinical Orthopaedics
关键词
尽神经压迫综合征
尺神经肌下前置
治疗
ulnar nerve compression syndrome
ulnar nerve anterior submuscular transposition
