骨间前神经旋前方肌支移位修复尺神经深支在尺神经高位损伤中的应用  

The Effect of Pronator Quadratus Muscle Branch Transfer to Deep Branch of the Ulnar Nerve for the Treatment of High level Ulnar Nerve Injury

作　　者：尹勇[1] 吴云峰[1] 黄斐[1] 王浩[1] 李家华[1] 马广文[1] 

机构地区：[1]安徽医科大学第四附属医院骨科,安徽合肥230022

出　　处：《中国伤残医学》2015年第13期2-3,共2页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的：观察骨间前神经旋前方肌支移位修复尺神经高位损伤的疗效。方法：应用骨间前神经旋前方肌支移位与腕部尺神经深支吻合，修复单纯高位尺神经损伤。结果：4例全部随访结果显示，手内肌肌力恢复M2 1例，M31例，M4 2例，其中1例爪形手改善不明显，其余3例爪形手明显改善。结论：骨间前神经旋前方肌支移位修复尺神经深支手术治疗尺神经高位损伤效果良好。Objective： To evaluate the effect of pronator quadratus muscle branch transfer to deep branch of the ulnar nerve for the treatment of high level ulnar nerve injury. Methods ： 4 cases of high level ulnar nerve injury were treated by transfering pronator quadratus muscle branch of the anterior interosseous nerve to deep branch of the ulnar nerve. Results： All patients had substantial postoperative fol- low - up. Intrinsic hand muscle power recovery to M2 in 1 case, M3 in 1 case and M4 in 4 cases. There were 3 patients had significantly improved in claw hand. Conclusion： The operation of pronator quadratus muscle branch transfer to deep branch of the ulnar nerve had good outcomes.

关 键 词：骨间前神经 旋前方肌支 修复 尺神经损伤 

分 类 号：R683[医药卫生—骨科学]