肘部尺神经卡压与尺神经半脱位的诊疗进展  

Advancement on Diagnosis and Treatment of Ulnar Nerve Compression and Subluxation

作　　者：王如成[1] 何爱咏[1] 

机构地区：[1]中南大学湘雅二医院骨科,长沙410011

出　　处：《中国现代手术学杂志》2009年第2期156-159,共4页Chinese Journal of Modern Operative Surgery

摘　　要：肘部尺神经卡压也称为肘管综合征,可造成手部一系列功能障碍,是最常见的上肢神经卡压症之一。尺神经脱位及半脱位为尺神经卡压的影响因素。尺神经卡压按McGowan分级分为Ⅰ、Ⅱ、Ⅲ级。Ⅰ级首选保守治疗;Ⅱ、Ⅲ级保守治疗效果欠佳,多需要手术治疗。手术方式主要有尺神经原位松解术(包括肱骨内髁切除术)、粘膜下尺神经前置术、肌下尺神经前置术及肌内尺神经前置术等,其中原位松解手术操作相对简单,但对于尺神经卡压伴有尺神经脱位者多属禁忌,应首选尺神经前置术。Ulnar nerve compression of elbow called as cubital tunnel syndrome is one of most common nerve compression of upper extremity injury and can cause a series dysfunctions of hand. Subluxation or luxation of ulnar nerve is the influential factor of ulnar nerve compression. Ulnar nerve compression is classified as grade Ⅰ ,Ⅱ and Ⅲ according to McGowan system. Expectant treatment is the first choice for patients of grade Ⅰ . Surgical intervention is usually applied in grade Ⅱ and Ⅲ patients due to non-ideal effect of expectant treat- ment. The procedures include ulnar nerve relaxation in situ, subcutaneous anterior transposition, submuscular anterior transposition and intramuscular anterior transposition. The procedure of ulnar nerve relaxation is sim- ple, but not suitable for ulnar nerve compression accompanied with luxation. However, anterior transposition is the preferred procedure for such kind of patients.

关 键 词：尺神经压迫综合征 尺神经 脱位 

分 类 号：R688[医药卫生—骨科学] R684[医药卫生—外科学]