中重度肘管综合征患者应用传统皮下前置术及带血运前置术的对比分析

目的比较两种治疗中重度肘管综合征手术方法的疗效。方法回顾性分析80例中重度肘管综合征患者的临床资料，其中40例接受传统皮下前置术（对照组），40例接受带血运前置术（观察组）。根据手外科尺神经功能评定标准评价两组患者的尺神经功能，并比较两组的评分，中、重度患者的优良率及总优良率。结果对照组与观察组入院时尺神经功能评分分别为（3．6±0．4），（3．7±0．5）分；术后分别为（7．5±0．9），（7．4±0．6）分，均较入院时提高（P〈0．05），但术后两组间差异无统计学意义（P〉0．05）。观察组总优良率为87．5％（35／40），略高于对照组85．0％（34／40），但差异无统计学意义（P〉0．05），两组间中度患者的术后优良率分别为90．0％（27／30）、96．4％（27／28）（P〉0．05），但重度患者的优良率分别为8／10和7／12，差异有统计学意义（P〈0．05）。结论带血运前置术治疗重度肘管综合征疗效优于传统皮下前置术。

To compare the traditional anterior transposition and anterior subcutaneous with blood supply of the ulnar nerve for the treatment of cubital tunnel syndrome

Objective To compare the traditional anterior transposition and anterior subcutaneous with blood supply of the ulnar nerve for the treatment of cubital tunnel syndrome. Methods Eighty cases with cubital tunnel syndrome were enrolled in the retrospective study from January 2009 to March 2013,40 cases （control group） were treated by traditional anterior transposition while the others （observation group） were treated by anterior subcutaneous with blood supply. According to the evaluation criteria of ulnar nerve, evaluated the function of patients and compared the scores of two groups and the improved rate of different level patients. Results The scores of two groups before surgery were （3.6 ± 0.4）, （3.7 ±0.5 ） scores, after surgery were （7.5 ±0.9）, （7.4 ±0.6） scores respectively, there was significant difference between two groups before and after surgery （P 〈 0.05 ）, but there was no significant difference between two groups （P 〉 0.05 ）. The improved rate of observation group was 87.5% （35/40）, which was higher than that of control group 85.0%（34/40）], but without statistical difference （P 〉 0.05 ）. In two groups the patients with middle scores showed no statistical significance in improved rate 90.0% （27/30） vs. 96.4% （27/28）] （P 〉 0.05 ）. Two treatments showed a significant difference for the low scores patients 8/10 vs. 7/12 （P 〈0.05）. Conclusion Anterior subcutaneous with blood supply of the ulnar nerve is better than traditional anterior transposition for the gross cubital tunnel syndrome patients.