尺神经损伤402例报告

目的 介绍尺神经损伤的治疗方法和疗效。方法 ４０２例尺神经损伤，上臂４４例，肘部６１例，前臂１３８例，腕部１３４例，掌部２５例，完全断伤３１２例，部分断伤２２例，神经粘连６８例，行神经松解术７２例，神经直接缝合２８６例，束组束膜缝合３１例，神经移植１３例，结果 按顾玉东的低位神经功能评定标准评定，优１１７例，占２９．１％，良１３４例，占３３．３％，可１０５例，占２６．１％，差４６例，占１１．５％，

Management of ulnar nerve injuries: A report of 402 cases

Objective To present the methods and results of treatment for ulnar nerve injuries. Methods 402 cases of ulnar nerve injuries were treated, of which 330 with neurorrhaphy or nerve grafting and 72 with neurolysis. The level of injury was: 44 in the arm, 61 at the elbow, 138 in the forearm, 134 at the wrist and 25 at the palm. The patients were followed up for an average of 4.5 years and assessed by Gu's standard for their hand function. Results Assessment of ulnar nerve function revealed excellent results in 117 cases (29.1%), good in 134 (33.3%), fair in 105 (26.1%), and poor in 46 (11.5%) . Second stage functional reconstruction of the intrinsic muscles were done in 2 cases. Conclusions Generally satisfactory results can be obtained by nerve repair or neurolysis in ulnar nerve injuries. Functional reconstruction however should be carried out in case of irreversible palsy.