手术治疗尺神经大段缺损的疗效  

Effect of surgical treatment for patients with large segment defect of ulnar nerve.

作　　者：侯忠学[1] 赵耘[1] 班照楠[1] 许冰[1] 谭均[1] 

机构地区：[1]成都市第五人民医院整形外科,成都611130

出　　处：《国际外科学杂志》2010年第3期177-178,共2页International Journal of Surgery

摘　　要：目的探讨手术治疗尺神经大段缺损并修复其功能的临床疗效。方法回顾性分析成都市第五人民医院1999年9月-2006年12月采用神经端-侧吻合术治疗尺神经大段缺损12例。所有病例手术均将尺神经远端的断端与正中神经行端-侧吻合，术后观察小指感觉和运动、手骨间肌、爪形畸形的恢复情况并与术前对比。结果12例均随访8～36个月，平均16个月，术后小指的感觉、运动均有明显的恢复，无1例发生切口感染，无关节僵硬和手内在肌肉明显的萎缩。疗效评定参照胥少汀评定标准：S4M4以上（优）6例、$3M3（良）4例、$2M2（可）2例、S1M1（差）0例，优良率达83．3％。结论神经的端一侧吻合术是治疗尺神经大段缺损功能丧失的有效方法。Objective To evaluate the clinical effect of surgical operation for recovering the function of ulnar nerve with large segment defect. Methods Twentycases with the large segment defect of ulnar nerve were retrospectively analyzed from September 1999 to December 2006 in the hospital. All the patients were treated by the operation of nerve end-to-side neurorrhaphy . The broken end of ulnar nerve was anastomosed with the median nerve. And observed the recovery of the sensation and motion function of the little finger,in- terosseous muscles and claw hand,then compared with before. Results All cases were followed up for 8 to 36 months. The mean was 16 months. The sensation and motion function of the little fingers had better resto- ration after operation. No incision infection, anchylosis or myatrophy was occurred. Excellent（ M4 ＋ S4 ＋ ）, Good （ M3 S3 ）, moderate （ M2S2）, and poor effects （ M1 S1 ） were achieved respectively in 6, 4,2 and 0 cases based on the scale of XU＇ s grading standard. The excellent and good rate was 83.3%. Conclusion The nerve end-to-side neurorrhaphy was a effective treatment for the patients with large segment defect of ul- Bar nerve.

关 键 词：神经缺损 端侧吻合 

分 类 号：R651.3[医药卫生—外科学]