尺神经肌膜瓣下前置联合可吸收医用膜包裹治疗肘管综合征疗效分析  被引量:2

Subcutaneous anterior transposition of the lunar nerve joint absorbable membrane for cubical tunnel syndrome

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作  者:李伟[1] 

机构地区:[1]山东潍坊市人民医院骨关节外科,潍坊261041

出  处:《中国实用神经疾病杂志》2014年第19期37-38,共2页Chinese Journal of Practical Nervous Diseases

摘  要:目的探讨尺神经肌膜瓣下前置联合可吸收医用膜包裹治疗肘管综合征的临床疗效。方法选取2010-02—2013-01我院收治的60例肘管综合征患者,随机分为2组。比较2组疗效及术前、术后小指展肌引出CMAP波幅。结果实验组总有效率93.3%,对照组为80.0%,2组比较差异有统计学意义(P<0.05)。实验组术前小指展肌引出CMAP波幅为3.9±2.7,术后为5.3±3.4;对照组术前为4.1±2.9,术后为4.6±3.2。2组术前小指展肌引出CMAP波幅差异无统计学意义(P>0.05),术后组间比较差异有统计学意义(P<0.05)。结论尺神经肌膜瓣下前置联合可吸收医用膜包裹术能够有效改善患者神经功能,在肘管综合征的治疗上具有明显优势。Objective To investigate clinical efficacy of subcutaneous anterior transposition of the lunar nerve joint ab-sorbable membrane in the treatment of cubical tunnel syndrome. Methods From February 2010 to January 2013 in our hospi-tal ,60 cases of cubical tunnel syndrome patients were randomly divided into two groups. The preoperative and postoperative efficacy and little finger abductor muscle leads CMAP amplitude were compared. Results The total efficiency of experimental group was 93.3% ,which was 80.0% in control group. The total efficiency of the two groups were significantly different ,with statistical significance (P〈0.05). The abductor digiti minimi lead CMAP amplitude in experimental group pre-operation was 3.9 ± 2.7 ,which was 5.3 ± 3.4 after operation ;and the abductor digiti minimi lead CMAP amplitude was 4.1 ± 2.9 in control group preoperative ,which was 4.6 ± 3.2 after operation. There was no significant difference between the two groups preopera-tive (P〉0.05) ,the difference was statistically significant between the two groups after operation (P〈0.05).Conclusion The subcutaneous anterior transposition of the lunar nerve joint absorbable membrane can improve patients ’ neurological function , and has obvious advantages in the treatment of cubical tunnel syndrome.

关 键 词:肘管综合征 尺神经 肌膜瓣下前置 可吸收医用膜包裹 

分 类 号:R745.49[医药卫生—神经病学与精神病学]

 

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