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克氏针固定并皮下神经前置术治疗肱骨髁上骨折疗效分析
引用本文:周宾宾,蔡乐乐,李玉文. 克氏针固定并皮下神经前置术治疗肱骨髁上骨折疗效分析[J]. 中国现代医药杂志, 2008, 10(3): 37-39
作者姓名:周宾宾  蔡乐乐  李玉文
作者单位:广西中医学院附属第一医院外三科,广西南宁,530001
摘    要:目的 探讨尺神经皮下前置术在治疗肱骨髁上并尺神经损伤的疗效.方法 回顾分析2004~2007年收治的此类患者58例,获得随诊50例,分别行单纯克氏针固定和克氏针固定并尺神经皮下前置术,术后评估优良率,观察尺神经恢复疗效.结果 单纯固定组优良率为65%,固定并神经前置组优良率为80%,两组疗效不存在显著差异.结论 Ⅰ期行尺神经皮下前置能提高尺神经损伤的恢复率,中重度伴有尺神经损伤的患者神经前置远期恢复更佳:未行神经前置的病例,若后期出现迟发性尺神经炎,可再行探查并皮下前置.

关 键 词:肱骨髁上骨  折神经损伤  尺神经皮下前置术  克氏针固定  皮下前置术  尺神经炎  术治疗  肱骨髁上骨折  疗效分析  ulnar nerve  injury  fracture  transposition  anterior  Kirschner wire  treatment  探查  迟发性  病例  恢复率  中重度  差异  存在
修稿时间:2008-01-14

Surgical treatment with Kirschner wire and anterior subcutaneous transposition for the fracture of humeral medial epicondylic which canpanied with injury of ulnar nerve
Zhou Binbin,Cai Lele,LiYuwen. Surgical treatment with Kirschner wire and anterior subcutaneous transposition for the fracture of humeral medial epicondylic which canpanied with injury of ulnar nerve[J]. Modern Medicine Journal of China, 2008, 10(3): 37-39
Authors:Zhou Binbin  Cai Lele  LiYuwen
Affiliation:Zhou Binbin,Cai Lele,Li Yuwen.Department of trauma,The First Traditional Chinese Medical Hospital of Nanning,Guang xi 530001
Abstract:Objective To discuss the effect of anterior subcutaneous transposition in treating the fracture of humeral epicondylus medialis with injury of ulnar nerve. Methods Fifty eight except eight cases with fracture of humeral medial epicondylic with injury of ulnar nerve from 2004 to 2007 had been reviewed. Each cases had been respectively treated with pure Kirschner wire fixation,fixation with anterior subcutaneous transposition,then analyzed the effect and rehabilitation of ulnar nerve. Results The fine rate of...
Keywords:Humeral epicondylus fracture Injury of ulnar nerve Anterior subcutaneous transposition  
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