尺神经沟扩大成形术治疗肘管综合征30例  

30 Cases Curative Efficacy Observation of Ulnar Nerve Groove Enlargement Plasty on the Treatment of Cubital Tunnel Syndrome

作　　者：王永宏 李彦强 梁亚龙 李红专[3] WANG Yonghong;LI Yanqiang;LIANG Yalong;LI Hongzhuan(Department of Orthopedics,Jingning Hospital of Traditional Chinese Medicine,Pingliang 744050,Gansu China;Department of Orthopedics,Qingyang Hospital of Traditional Chinese Medicine,Qingyang 745000,Gansu China;Department of Bone and Soft Tissue Oncology,Gansu Hospital of Traditional Chinese Medicine,Lanzhou 730050,China)

机构地区：[1]甘肃省静宁县中医院骨科,甘肃平凉744000 [2]甘肃省庆阳市中医医院骨科 [3]甘肃省中医院骨与软组织肿瘤科

出　　处：《中国中医骨伤科杂志》2023年第6期71-73,77,共4页Chinese Journal of Traditional Medical Traumatology & Orthopedics

基　　金：2022年平凉市级重点项目(平科任[2021]1号)。

摘　　要：目的:探讨尺神经沟扩大成形术治疗肘管综合征的疗效。方法:分析2017年6月至2022年8月采用尺神经沟扩大成形术治疗肘管综合征患者30例(中度组7例,重度组23例),随访比较患者术后各时间点尺神经支配区域麻木疼痛程度评分、感觉评分、手内侧肌、握力等恢复情况。结果:术后所有患者根据顾玉东肘管综合征功能评定标准评价功能:中度组患者优7例,良0例,可0例,差0例;重度组患者优20例,良3例,可0例,差0例。结论:尺神经沟扩大成形术治疗肘管综合征的临床效果明显。Objective:To investigate the curative efficacy of ulnar nerve groove enlargement plasty on the treatment of cubital tunnel syndrome(CuTS).Methods:From June 2017 to August 2022,30 patients with CuTS(7 cases in moderate group and 23 cases in severe group)were treated with ulnar nerve groove enlargement plasty.The patients were followed up to compare at different time points after operation to compare the degree of numbness and pain in the ulnar nerve innervated area,sensory score,hand internal muscle recovery,grip strength and other recovery.Results:After operation,all patients were evaluated according to Gu Yudong's evaluation criteria of CuTS:7 cases were excellent in moderate group,0 case was good,0 case was fair,and 0 case was poor.In the severe group,20 cases were excellent,3 cases were good,0 case were fair,and 0 case were poor.Conclusion:The clinical efficacy of ulnar nerve groove enlargement plasty on the treatment of CuTS is obvious.

关 键 词：肘管综合征 尺神经沟扩大成形术 尺神经 神经松解术 

分 类 号：R681.7[医药卫生—骨科学]