神经束膜吻合术治疗腕部尺神经损伤的效果观察  

Observation on the Effect of Perineurial Anastomosis in the Treatment of Ulnar Nerve Injury of Wrist

作　　者：黄书杰 畅宁 邓俊森 HUANG Shujie;CHANG Ning;DENG Junsen(Department of Pelvic Injury and Disease(Department of Trauma Surgery),Luoyang Orthopedic Hospital/He'nan Provincial Orthopedic Hospital,Zhengzhou 450016,China)

机构地区：[1]河南省洛阳正骨医院/河南省骨科医院骨盆髋臼科(创伤外科),河南郑州450016

出　　处：《临床医学工程》2023年第12期1683-1684,共2页Clinical Medicine & Engineering

摘　　要：目的观察神经束膜吻合术治疗腕部尺神经损伤的效果。方法104例腕部尺神经损伤患者随机分为两组,各52例。对照组应用神经外膜吻合术治疗,观察组应用神经束膜吻合术治疗。比较两组的治疗效果以及尺神经传导速度、复合肌肉动作电位波幅。结果观察组的优良率为96.15%,显著高于对照组的76.92%(P<0.05)。术后3、6、12个月,两组的尺神经传导速度和复合肌肉动作电位波幅均显著高于术前,且观察组均显著高于对照组(P<0.05)。结论神经束膜吻合术治疗腕部尺神经损伤的效果显著,可有效提高患者术后尺神经传导速度和复合肌肉动作电位波幅。Objective To observe the effect of perineurial anastomosis in the treatment of ulnar nerve injury of wrist.Methods A total of104 patients with ulnar nerve injury of wrist were randomly divided into two groups,with 52 cases in each group.The control group was treated with epineurial anastomosis,and the observation group was treated with perineurial anastomosis.The therapeutic effect and the ulnar nerve conduction velocity and compound muscle action potential amplitude were compared between the two groups.Results The excellent and good rate of the observation group was 96.15%,significantly higher than 76.92%of the control group(P<0.05).At 3,6 and 12 months after surgery,the ulnar nerve conduction velocity and compound muscle action potential amplitude of the two groups were significantly higher than those before surgery,and the indicators of the observation group were significantly higher than those of the control group(P<0.05).Conclusions Perineurial anastomosis in the treatment of ulnar nerve injury of wrist has significant effect,which can effectively improve patients'ulnar nerve conduction velocity and compound muscle action potential amplitude after surgery.

关 键 词：神经束膜吻合术 神经外膜吻合术 腕部尺神经损伤 疗效 尺神经传导速度 复合肌肉动作电位波幅 

分 类 号：R658.2[医药卫生—外科学]