摘要
目的探讨尺神经肌下前置术在肘管综合征治疗中的疗效。方法 32例肘管综合征患者,采用尺神经松解前臂屈肌肌下前置方式治疗,观察其效果。结果术后平均随访17个月,末次随访优26例,占81.3%,良1例,占3.1%,可2例,占6.3%,差3例,占9.4%,优良率为84.4%;11例重度患者术前病程平均达16个月,术后优良率为63.6%。结论采用尺神经肌下前置术治疗肘管综合征,临床疗效确切可靠;肘管综合征应早诊断、早治疗可以明显改善预后。
Objective To explore the curative effect of anterior submuscular transposition of the ulnarnerve in cubital tunnel syndrome.Methods A total of32cubital tunnel syndrome patients all treated with ulnarnerve release of the forearm flexor muscle subordinate way,and the effect was observed.Results The averagefollow-up was17months after operation.The last follow-up was excellent in26cases,accounting for81.3%,goodin1case,accounting for3.1%,moderate in2cases,accounting for6.3%,and poor in3cases,accounting for9.4%,with excellent-good rate as84.4%.Severe patients had an average duration of16months before surgery,withpostoperative excellent-good rate as63.6%.Conclusion Anterior submuscular transposition of the ulnar nerveshows reliable clinical efficacy in the treatment of cubital tunnel syndrome,and early diagnosis and early treatmentof cubital tunnel syndrome can significantly improve the prognosis.
作者
叶俊武
阳运康
YE Jun-wu;YANG Yun-kang(Department of Bone and Joint Surgery, Affiliated Hospital of Southwest Medical University, Luzhou 646000, China)
出处
《中国现代药物应用》
2017年第14期8-10,共3页
Chinese Journal of Modern Drug Application
关键词
肘管综合征
肌下前置术
尺神经
Cubital tunnel syndrome
Anterior submuscular transposition
Ulnar nerve
