| 尺神经肌下前置术治疗肘管综合征 |
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| 引用本文： | 戴志刚,刘儒森,刘亚,崔化琴.尺神经肌下前置术治疗肘管综合征[J].临床骨科杂志,2000,3(2):85-86. |
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| 作者姓名： | 戴志刚 刘儒森 刘亚 崔化琴 |
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| 作者单位： | 1. 潍坊医学院附属医院骨科,山东,潍坊,261031
2. 潍坊医学院附属医院神经电生理室,山东,潍坊,261031 |
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| 摘 要： | 目的 探讨尺神经松解加肌下前置术治疗肘管综合征的有效性。方法 观测２０例成人尸体上肢标本及３２例患者尺神经移置前后的解剖变化，临床应用３２例。结果 尺侧上副动脉可与尺神经一前置；皮下前置伸肘位时尺神经易受牵拉，肌下前置伸、屈肘时均不受牵拉；新肘管可充分容纳尺神经。３２例中获完整随访２６例。随访期１～３年，１６例（６１．５％）恢复正常。结论 尺神经松解加肌下前置术为治疗肘管综合征较佳术式。
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| 关 键 词： | 尽神经压迫综合征 尺神经肌下前置 治疗 |
Anterior submuscular transposition of the ulnar nerve for cubit tunnel syndrome |
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| Dai Zhigang,Liu Rusen,Liu Ya,Cui Huaqin.Anterior submuscular transposition of the ulnar nerve for cubit tunnel syndrome[J].Journal of Clinical Orthopaedics,2000,3(2):85-86. |
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| Authors: | Dai Zhigang Liu Rusen Liu Ya Cui Huaqin |
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| Abstract: | Objective To investigate effect of ulnar nerve compression and anterior submuscular transposition in the treatment of cubit tunnel syndrome.Methods 20 cubituses of adult cadavers and 32 patients were dissected,and the anatomical characteristics of the elbow and ulnar nerve were observed before and after ulnar nerve submuscular or subcutaneous transposition. The procedure was used in 32 patients. Results Superior ulnar collateral artery could be transposed with ulnar nerve;new cubit tunnel was wide enough to contain ulnar nerve;when elbow was extended the ulnar nerve would be pulled in subcutaneous transposition.However,in submuscular, it would not. 26 patients were followed up for 1 to 3 years, 61 5% recovered normal. Conclusion Ulnar nerve anterior submuscular transposition is a better method for treating cubit tunnel syndrome. |
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| Keywords: | ulnar nerve compression syndrome ulnar nerve anterior submuscular transposition |
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