| 不同类型前置术治疗尺神经肘管卡压综合征 |
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| 引用本文： | 张文川,李世亭,钟文祥,郑学胜,杨敏,施君.不同类型前置术治疗尺神经肘管卡压综合征[J].中国微侵袭神经外科杂志,2011,16(9):410-412. |
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| 作者姓名： | 张文川 李世亭 钟文祥 郑学胜 杨敏 施君 |
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| 作者单位： | 上海交通大学医学院附属新华医院神经外科,200092 |
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| 摘 要： | 目的 对比不同类型前置术治疗尺神经肘管卡压综合征的临床疗效.方法 回顾性分析278例尺神经肘管卡压综合征病人的临床资料,按McGowan法分级后,随机行尺神经皮下前置术(皮下前置术)139例,"Z"字形改良肌下前置术(肌下前置术)139例.检测尺神经横截面积(CSA)、神经运动传导速度(MCV),感觉传导速度(SCV )、神经干动作电位(NAP)变化,比较两种术式的疗效.结果 McGowan Ⅰ级病人,术后 CSA,MCV,SCV,NAP均较术前明显改善(P <0.05),但两种术式间各参数和术后优良率差异均无统计学意义(P > 0.05).McGowan Ⅱ,Ⅲ级病人术后CSA,MCV,SCV,NAP均较术前明显改善(P<0.05),且两种术式间各参数和术后优良率差异均有统计学意义(P <0.05).结论 皮下前置术适于尺神经肘管卡压综合征McGowan Ⅰ级病人,而肌下前置术更适用于McGowan Ⅱ,Ⅲ级病人.
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| 关 键 词： | 尺神经压迫综合征 横截面积 传导速度 动作电位 |
Various kinds of nerve transposition for the treatment of ulnar nerve entrapment syndrome associated with the cubital tunnel |
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| Zhang Wenchuan,Li Shiting,Zhong Wenxiang,Zheng Xuesheng,Yang Min,Shi Jun.Various kinds of nerve transposition for the treatment of ulnar nerve entrapment syndrome associated with the cubital tunnel[J].Chinese Journal of Minimally Invasive Neurosurgery,2011,16(9):410-412. |
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| Authors: | Zhang Wenchuan Li Shiting Zhong Wenxiang Zheng Xuesheng Yang Min Shi Jun |
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| Institution: | Zhang Wenchuan,Li Shiting,Zhong Wenxiang,Zheng Xuesheng,Yang Min,Shi Jun Department of Neurosurgery,Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine,Shanghai 200092,China. |
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| Abstract: | Objective To compare the clinical efficacies of various kinds of nerve transposition for the treatment of ulnar nerve entrapment syndrome associated with cubital tunnel.Methods Clinical data of 278 patients with entrapment syndrome of the ulnar nerve were analyzed retrospectively.Ulnar nerve decompression was performed under microscope in all the patients.After classifying according to McGowan grade,the patients were randomly given subcutaneous ulnar nerve transposition(subcutaneous nerve transposition) and... |
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| Keywords: | ulnar nerve compression syndrome crossetion area conduction velocity action potentials |
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