| 陈步国,张松,吴尧,等.程序化操作在尺神经皮下前置术中的应用.骨科,2022,13(1): 20-24. |
| 程序化操作在尺神经皮下前置术中的应用 |
| Application of Programmed Operation in the Anterior Subcutaneous Transposition of Ulnar Nerve. |
| 投稿时间：2021-05-30 |
| DOI：10.3969/j.issn.1674-8573.2022.01.006 |
| 中文关键词: 肘管综合征 尺神经 前置术 程序化 |
| 英文关键词: Cubital tunnel syndrome Ulnar nerve Anterior transposition Programmed |
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| 中文摘要: |
| 目的 探讨程序化手术操作在尺神经皮下前置术中的应用效果。方法 我院自2017年1月至2019年12月采用尺神经松解皮下前置术治疗肘管综合征病人34例。所有病人均采用程序化操作处理前臂内侧皮神经、Struthers弓、内侧肌间隔、Osborne韧带、尺侧腕屈肌两头、指浅屈肌筋膜、尺神经伴行血管、尺侧屈腕肌肌支及关节支、屈肌与旋前圆肌筋膜瓣这九个重要结构。术后随访，采用Wilson-Krout标准评估疗效。结果 通过门诊及电话有效随访30例，4例失访。随访时间为12~24个月，平均16个月。Wilson-Krout标准评估结果：优21例（70%），良6例（20%），可2例（6.7%），差1例（3.3%）。所有病人均无明显并发症出现，无一例进行二次手术翻修。结论 程序化操作应用于尺神经皮下前置术能充分解除尺神经卡压点，治疗肘管综合征疗效显著，再次手术翻修率低。 |
| 英文摘要: |
| Objective To evaluate the effect of the programmed operation in the anterior subcutaneous transposition of cubital tunnel syndrome. Methods From January 2017 to December 2019, 34 patients with cubital tunnel syndrome were treated with the anterior subcutaneous transposition of ulnar nerve in our hospital. Nine important structures of the patients were operated with the programmed procedure, including the medial cutaneous nerve of forearm, Struthers arch, medial intermuscular septum, Osborne ligament, ulnar flexor muscle of wrists, musculus flexor digitorum superficialis anadesma, concomitant vessels of ulnar nerve, muscular and articular branches of the ulnar flexor carpus, flexor and fascia flap of the anterior teres muscle. The patients were followed up, and the curative effect was evaluated by the Wilson-Krout criterion. Results Thirty of the 34 patients were followed up effectively by outpatient service and telephone, and 4 patients were lost to follow-up. The follow-up time was 12-24 months, with an average of 16 months. According to the Wilson-Krout criteria, the efficacy was excellent in 21 cases (70%), good in 6 cases (20%), fair in 2 cases (6.7%), and poor in 1 case (3.3%). All patients were well-healed, no complications occurred and any secondary revision surgery was given. Conclusion The programmed operation in anterior subcutaneous transposition of ulnar nerve can fully decompose and remove the entrapment point of ulnar nerve, and has significant curative effect in the treatment of cubital tunnel syndrome and low reoperation revision rate. |
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