皮下前置术与带血运前置术治疗肘管综合征的疗效对比  

Anterior subcutaneous versus anterior subcutaneous with blood supply transposition of the ulnar nerve for cubital tunnel syndrome

作　　者：牟怡平[1] 张扬[1] 高峰[2] 辛畅泰[1] 

机构地区：[1]沈阳医学院附属中心医院手外科,辽宁沈阳110024 [2]大连医科大学,辽宁大连116000

出　　处：《实用手外科杂志》2013年第4期324-326,共3页Journal of Practical Hand Surgery

摘　　要：目的比较两种治疗肘管综合征手术方法的疗效。方法回顾分析2008年1月-2012年1月收治的160例肘管综合征患者，其中97例接受传统皮下前置术，63例接受带血运前置术。根据手外科尺神经功能评定标准评价两组患者的尺神经功能，然后分别比较两组的评分、中重度患者的优良率及总优良率。结果术后两组的评分分别为（7．5±0．86）分、（7．4±0．96）分，无统计学差异（P〉0．05）。带血管蒂前置组总优良率为87．3％，略高于传统皮下前置组86．59％（P〉0．05）。两组间中度患者的术后优良率分别为88．09％，94．73％（P〉0．05），但重度患者的优良率分别为85．71％和57．14％（P〈0．05），有统计学差异（P〈0．05）。结论带血运前置术治疗重度肘管综合征疗效优于传统皮下前置术。Objective To compare traditional anterior transposition with anterior transposition with blood supply of the ulnar nerve for the treatment of cubital tunnel syndrome. Methods 160 cases with cubital tunnel syndrome were enrolled in the retrospective study from January 2008 to January 2012. 97 cases were treated by anterior subcutaneous transposition while the others were treated by anterior subcutaneous with blood supply. According the evaluation criteria of ulnar nerve, evaluated the function of the patients then compared the scores of two groups and the improved rate of different level patients. Results The scores of two groups after surgery was （7.5＋0.86）, （7.4＋0.96） respectively（P〉0.05）, the improved rate of the group with blood supply was 87.3%, which was higher than the anterior subcutaneous 86.59%, but without statistical difference （P〉0.05）. In two groups the patients with middle score showed no statistical significance in the rate （P〉0.05）. Two treatments showed a significant difference for the low scores patients 85.71% and 57.14% （P〈0.05）. Conclusion Anterior subcutaneous with blood supply transposition was better than anterior subcutaneous for the gross cubital tunnel syndrome patients.

关 键 词：肘管综合征 血运 前置术 

分 类 号：R658.2[医药卫生—外科学]