摘要
目的分析年龄、病程、肘段尺神经运动传导速度与重度肘管综合征尺神经前置术后预后的关系。方法回顾性分析自2014年6月至2017年6月在我院行手术治疗的重度肘管综合征患者90例,记录患者术前病程、年龄、术前及术中肘段尺神经运动传导速度,并计算神经传导速度改善率,分析各因素与预后的相关性。结果术后随访时间为12~38个月,平均22.2个月,根据顾玉东的肘管综合征功能评定标准评价疗效:优32例、良49例、可8例、差1例,总体优良率为90%。患者病程、年龄、术前及术中肘段尺神经运动传导速度与疗效相关,而神经传导速度改善率与预后无相关性。结论术前病程和年龄与预后呈负相关,术前及术中松解后神经运动传导速度与预后呈正相关,但神经运动传导速度改善率与术后疗效无相关性,不能作为预测临床预后的指标。
Objective To analyze the relationship between age, course of disease, motor nerve conduction velocity of elbow ulnar nerve and prognosis of severe cubital tunnel syndrome after ulnar nerve anterior transposition. Methods Ninety patients with severe cubital tunnel syndrome treated surgically in our hospital from June 2014 to June 2017 were retrospectively analyzed. The course of disease, age, motor nerve conduction velocity of ulnar nerve in elbow segment before and during operation were recorded, and the improvement rate of nerve conduction velocity was calculated.The correlation between each factor and prognosis was analyzed. Results The follow-up time ranged from 12 to 38 months with an average of 22.2 months. According to Gu Yudong's cubital tunnel syndrome functional evaluation criteria, the results were rated as excellent in 32 cases, good in 49 cases, fair in 8 cases and poor in 1 case. The overall excellent and good rate was 90%.The course of disease, age, preoperative and intraoperative motor nerve conduction velocity of ulnar nerve in elbow segment were correlated with curative effect, but the improvement rate of nerve conduction velocity was not correlated with prognosis. Conclusion Preoperative course and age were negatively correlated with prognosis. Preoperative or post-operative motor nerve conduction velocity was positively correlated with prognosis. However, the improvement rate of motor nerve conduction velocity was not correlated with postoperative efficacy and could not be used as a predictor of clinical prognosis.
作者
肖锋
劳杰
赵新
Xiao Feng;Lao Jie;Zhao Xin(Department of Hand Surgery, Huashan Hospital, Key Laboratory of Hand Reconstruction of Ministry of Health, Shanghai Key Laboratory of Peripheral Nerve and Microsurgery, Shanghai 200040, China)
出处
《中华手外科杂志》
CSCD
北大核心
2019年第3期206-208,共3页
Chinese Journal of Hand Surgery
基金
国家自然科学基金面上项目(81572127).
关键词
肘管综合征
预后
神经电生理
运动神经传导速度
Cubital tunnel syndrome
Prognosis
Nerve electrophysiology
Motor nerve conduction velocity
