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肘管综合征的显微外科治疗
引用本文:薛静,钟桂午,蔡肖岚,张小东,徐达传,胡万华.肘管综合征的显微外科治疗[J].实用手外科杂志,2005,19(1):12-13.
作者姓名:薛静  钟桂午  蔡肖岚  张小东  徐达传  胡万华
作者单位:1. 中国人民解放军第466医院,骨科,北京,100089
2. 北京市二龙路社区卫生服务中心
3. 南方医科大学,临床解剖研究所
4. 中国人民解放军第451医院,骨科
摘    要:目的探讨肘管综合征显微外科治疗的临床效果。方法选择42例肘管综合征患者施行带血供的尺神经显微松解并前置术,术中观察尺神经肘管段的血供分支及分布特点,术后观察其疗效。结果36例肘管综合征临床症状全部消失,功能恢复正常;6例感觉功能完全恢复,运动功能大部恢复。结论带血供的尺神经显微松解并前置术是治疗肘管综合征的一种有效方法。

关 键 词:肘管综合征  神经卡压  尺侧上副动脉  尺侧返动脉  显微外科
文章编号:1671-2722(2005)01-0012-02
修稿时间:2004年11月2日

Microsurgical treatment of cubital tunnel syndrome
XUE Jing,ZHONG Gui-wu,CAI Xiao-lan,ZHANG Xiao-dong,XU Da-chuan,HU Wan-hua.Microsurgical treatment of cubital tunnel syndrome[J].Chinese Journal of Practical Hand Surgery,2005,19(1):12-13.
Authors:XUE Jing  ZHONG Gui-wu  CAI Xiao-lan  ZHANG Xiao-dong  XU Da-chuan  HU Wan-hua
Abstract:Objective To probe the clinical effect of microsurgical treatment of cubital tunnel syndrome(CuTs). Methods Since 1999,42 cases with CuTs were treated by ulnaris nerve decompression and anterior transposition. Observe the features of blood supply branching of ulnar nerve in cubital tunnel during the operation and the curative effects after the operation.Results Clinical symptoms disappeared completely and function restored in 36 cases. Sensory function restored fully and motor function recovered partially in 6 cases.Conclusion It is an effective method for treating CuTs that by using ecompression and anterior transposition with blood supply of the ulnaris nerve.
Keywords:Cubital tunnel syndrome  Nerve compression  Superior ulnar collateral artery  Ulnar atavic artery
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