肘管综合征的外科治疗  

Surgical Treatment of Cubital Tunnel Syndrome

作　　者：张杏泉[1] 蔡平[1] 姚晨[1] 高军伟[1] 方仁义 满谷 王民政[4] 陈刚[1] 

机构地区：[1]江苏省中医院骨伤科,江苏南京210029 [2]安徽和县中医院骨伤科 [3]南京市溧水中医院骨伤科 [4]江西省中医院骨伤科

出　　处：《中国伤残医学》2013年第11期6-8,共3页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨采用尺神经外膜松解并尺神经皮下前置术治疗肘管综合征的疗效。方法:对经确诊的26例肘管综合征患者,采用尺神经外膜松解及尺神经皮下前置术,术中观察并记录尺神经卡压的部位、范围、粗细及质地等;术后观察患者感觉恢复、肌萎缩恢复、爪型手恢复及手指内收、外展等功能恢复情况。结果:26例肘管综合征病例均获随访,23例明显改善,运动感觉均获恢复;2例感觉恢复,运动无恢复;1例运动、感觉均无恢复。结论:尺神经外膜松解并尺神经皮下前置术,操作简单、疗效肯定,是治疗肘管综合征的有效方法;对肘管综合征患者,保守治疗无效者尽早手术。Objective：To explore the effect of ulnar nerve fore set （UNF） with epineurium neurolysis （EN）of cubital tunnel syndrome （CTS）. Methods ：26 patients with cubital tunnel syndrome（CTS） were performed with ulnar nerve fore set （UNF） with epineurium neu- rolysis（EN）. The location, scope, caliber and texture of ulnar nerve entrapments were observed and recorded intraoperatively while the sen- sory,muscular atrophy, claw hand deformities recovery and the adduction and abduction functional recovery of fingers were observed and recorded post -operatively. ResMts：All the patients were followed up for 6 months - 3 years. Among them, the sensory and motion of 23 cases were recovered satisfactorily and 2 cases sensory function was recovered completely while one case did not recover both motion and sensory function. Conclusions：The way of ulnar nerve fore set （UNF） with epineurium neurolysis （EN）to treat the cubital tunnel syndrome （CTS） is simple and effective. Patients with cubital tunnel syndrome （CTS）, especially the nonresponders by expectant treatment, are per- formed as better as possible.

关 键 词：肘管综合征 神经外膜松解 尺神经前置 

分 类 号：R658.2[医药卫生—外科学]