本文選題：肘管綜合征 + 尺神經(jīng)��； 參考：《中國矯形外科雜志》2017年05期

【摘要】：[目的]評價帶血管蒂尺神經(jīng)肌筋膜下前置術(shù)治療中度肘管綜合征的療效。[方法]通過對6例防腐成人上肢標本觀察測量肘部尺神經(jīng)血供來源和血管外徑及血管長度的相關(guān)數(shù)據(jù),對30例中度肘管綜合征患者,分為兩組,分別采用帶血管蒂尺神經(jīng)肌筋膜下前置術(shù)和單純肌筋膜下前置術(shù),參照中華醫(yī)學(xué)會手外科學(xué)會制定的尺神經(jīng)修復(fù)后功能評定試用標準,Lascar分級法和術(shù)前術(shù)后尺神經(jīng)神經(jīng)電生理變化,對療效進行評價比較。[結(jié)果]尺神經(jīng)的營養(yǎng)伴行血管有3條。伴神經(jīng)走行的長度分別為尺側(cè)上副動脈(144.0±3.3)mm、尺側(cè)下副動脈(47.6±7.2)mm、尺側(cè)返動脈后支(66.2±8.3)mm。帶血管尺神經(jīng)筋膜下前置術(shù)優(yōu)良率為93.3%,單純肌筋膜下前置術(shù)優(yōu)良率為80%,兩組比較差異有統(tǒng)計學(xué)意義。神經(jīng)電生理檢查:帶血管尺神經(jīng)肌筋膜下前置術(shù)優(yōu)于單純肌筋膜下前置術(shù),兩組比較差異有統(tǒng)計學(xué)意義。[結(jié)論]帶血管蒂尺神經(jīng)肌筋膜下前置術(shù)療效可靠,方法簡便,是治療中度肘管綜合征的有效方法。
[Abstract]:Objective: to evaluate the efficacy of vascularized ulnar nerve myofascial preimplantation in the treatment of moderate cubital tunnel syndrome. [methods] 30 patients with moderate cubital tunnel syndrome were divided into two groups by observing and measuring the blood supply source, vascular diameter and vascular length of ulnar nerve in 6 antiseptic adult upper limb specimens. The ulnar nerve with vascular pedicle was performed with subfascial preposition and simple subfascial preposition. According to the standard for functional evaluation of ulnar nerve repair developed by the Chinese Medical Association of hand surgery and the electrophysiological changes of ulnar nerve before and after operation, the curative effect was evaluated and compared. [results] there were 3 vessels associated with ulnar nerve nutrition. The length of the accompanying nerve was 144.0 鹵3.3 mm in the superior ulnar collateral artery, 47.6 鹵7.2 mm in the inferior ulnar collateral artery and 66.2 鹵8.3 mm in the posterior branch of the recurrent ulnar artery. The excellent and good rate of subfascial anterior operation with vascular ulnar nerve was 93.3 and that of simple subfascial anterior operation was 80. The difference between the two groups was statistically significant. Nerve electrophysiological examination: the ulnar nerve with blood vessels was superior to the simple subfascial anterior operation, the difference between the two groups was statistically significant. [conclusion] the subfascial preoperation of ulnar nerve pedicled with blood vessel is effective and simple, and it is an effective method for the treatment of moderate cubital tunnel syndrome.
【作者單位】： 山東省濰坊市人民醫(yī)院骨科;
【分類號】：R688

【參考文獻】

相關(guān)期刊論文 前10條

1 呂荼;李子華;黃若強;張兆毅;邱忠朋;黃雪松;;尺神經(jīng)單純減壓術(shù)、帶血管蒂尺神經(jīng)前置術(shù)治療中重度肘管綜合征療效比較[J];山東醫(yī)藥;2015年23期

2 柳三鳳;莊智勇;謝樹榮;蔡金表;黃霄云;田東;;肌電圖在肘管綜合征中的診斷陽性率與鑒別診斷[J];現(xiàn)代電生理學(xué)雜志;2015年01期

3 張明耿;吳蓉;宋施岐;;30例肘管綜合征的臨床與肌電圖分析[J];醫(yī)學(xué)理論與實踐;2014年24期

4 郁詩陽;劉s，

本文編號：1927964