【摘要】：目的：探討肘管綜合征的發(fā)病原因，顯微手術(shù)治療效果。 方法：選取從2010~2014年，于本院手外科就診的60例肘管綜合征患者。所有患者皆行尺神經(jīng)皮下前置術(shù)結(jié)合神經(jīng)顯微松解治療。根據(jù)術(shù)中所探查的尺神經(jīng)卡壓位置及原因，綜合分析誘因，合并肢體畸形等情況，，探討肘管綜合征發(fā)病原因。術(shù)前根據(jù)顧玉東所建議的肘管綜合征臨床分型標(biāo)準(zhǔn)對(duì)病例進(jìn)行分級(jí)，術(shù)后隨訪采用肘管綜合征功能評(píng)定標(biāo)準(zhǔn)，綜合分析年齡、病程等因素，對(duì)手術(shù)療效進(jìn)行評(píng)價(jià)。 結(jié)果：術(shù)中明確診斷尺神經(jīng)卡壓的位置及原因。根據(jù)肘管綜合征臨床分型評(píng)定標(biāo)準(zhǔn)，中度12例（12肢），重度48例（51肢）。隨訪時(shí)間3~18個(gè)月，其中優(yōu)7例（7肢），良30例（32肢），可18例（18肢），差5例（6肢），術(shù)后優(yōu)良率為61.9%。 結(jié)論：綜合本組病例發(fā)病原因，除文獻(xiàn)報(bào)道的常見(jiàn)原因外，還有其他少見(jiàn)原因，包括骨質(zhì)增生壓迫，腫物壓迫等。尺神經(jīng)皮下前置術(shù)結(jié)合神經(jīng)顯微松解是治療肘管綜合征可靠的方法，年齡越小，病程越短，手內(nèi)在肌萎縮情況較輕的患者術(shù)后功能恢復(fù)越好。
[Abstract]:Objective: to investigate the causes of cubital tunnel syndrome and the effect of microsurgery. Methods: from 2010 to 2014, 60 patients with cubital tunnel syndrome were selected. All patients were treated with subcutaneous anterior ulnar nerve surgery and microlysis. According to the location and cause of ulnar nerve compression, the causes of cubital tunnel syndrome were analyzed. According to the clinical classification standard of cubital tunnel syndrome suggested by Gu Yudong, the patients were classified before operation. The functional evaluation criteria of cubital tunnel syndrome were used for postoperative follow-up. The effect of operation was evaluated by comprehensive analysis of age, course of disease and other factors. Results: the location and cause of ulnar nerve compression were determined during operation. According to the clinical classification of cubital tunnel syndrome, 12 cases were moderate (12 limbs), 48 cases were severe (51 limbs). The follow-up time ranged from 3 to 18 months, including excellent 7 cases (7 limbs), good 30 cases (32 limbs), fair 18 cases (18 limbs) and poor 5 cases (6 limbs). The excellent and good rate was 61.9%. Conclusion: in addition to the common causes reported in the literature, there are other rare causes, including hyperosteogenesis and mass compression. Subcutaneous preposition of ulnar nerve combined with microlysis of nerve is a reliable method for the treatment of cubital tunnel syndrome. The younger the age, the shorter the course of disease, the better the functional recovery of the patients with mild hand muscle atrophy.
【學(xué)位授予單位】：吉林大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R688

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 呂國(guó)棟;梁炳生;;帶血供尺神經(jīng)深筋膜瓣下前置術(shù)解剖學(xué)研究[J];國(guó)際骨科學(xué)雜志;2008年01期

2 沈麗英;顧玉東;;肌電電生理檢查在診斷尺神經(jīng)肘部卡壓中的應(yīng)用[J];上海醫(yī)學(xué);1991年10期

3 賈英偉;梁炳生;喬虎云;陳治;;肘管綜合征術(shù)后復(fù)發(fā)二次手術(shù)16例分析[J];山西醫(yī)科大學(xué)學(xué)報(bào);2006年05期

4 田江華,梁炳生,廖平川;肘管綜合征電生理檢查陰性原因分析[J];山西醫(yī)藥雜志;1998年03期

5 田萬(wàn)成;潘風(fēng)雨;潘希貴;盧全忠;;肘管綜合征的顯微外科治療[J];實(shí)用手外科雜志;2008年02期

6 曹洪艷;陳定章;叢銳;鄭敏娟;周曉東;;高頻超聲在肘管綜合征診斷中的應(yīng)用[J];中國(guó)超聲醫(yī)學(xué)雜志;2008年06期

7 虞聰,顧玉東;對(duì)中重度肘管綜合征治療方式的探討[J];中華手外科雜志;2000年03期

8 史其林,官士兵,余學(xué)東,孫貴新,顧玉東;內(nèi)窺鏡治療肘管綜合征[J];中華手外科雜志;2003年03期

9 田東;顧雁浩;張凱莉;徐雷;;探討肘管綜合征電生理分期的定量指標(biāo)[J];中華手外科雜志;2006年05期

10 羅永湘,王體沛,方煌;神經(jīng)松解術(shù)治療上肢原因不明的神經(jīng)炎[J];中華顯微外科雜志;2001年02期

本文編號(hào)：2263764