[1]王永宏,李彦强△,梁亚龙,等.尺神经沟扩大成形术治疗肘管综合征30例[J].中国中医骨伤科杂志,2023,31(06):71-73+77.[doi:10.20085/j.cnki.issn1005-0205.230613]
 WANG Yonghong,LI Yanqiang,LIANG Yalong,et al.30 Cases Curative Efficacy Observation of Ulnar Nerve Groove Enlargement Plasty on the Treatment of Cubital Tunnel Syndrome[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2023,31(06):71-73+77.[doi:10.20085/j.cnki.issn1005-0205.230613]
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尺神经沟扩大成形术治疗肘管综合征30例()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第31卷
期数:
2023年06期
页码:
71-73+77
栏目:
临床报道
出版日期:
2023-06-15

文章信息/Info

Title:
30 Cases Curative Efficacy Observation of Ulnar Nerve Groove Enlargement Plasty on the Treatment of Cubital Tunnel Syndrome
文章编号:
1005-0205(2023)06-0071-03
作者:
王永宏1李彦强2△梁亚龙1李红专3
1甘肃省静宁县中医院骨科(甘肃 平凉,744000)
2甘肃省庆阳市中医医院骨科
3甘肃省中医院骨与软组织肿瘤科
Author(s):
WANG Yonghong1LI Yanqiang2△LIANG Yalong1LI Hongzhuan3
1Department of Orthopedics,Jingning Hospital of Traditional Chinese Medicine,Pingliang 744050,Gansu China;
2Department of Orthopedics,Qingyang Hospital of Traditional Chinese Medicine,Qingyang 745000,Gansu China;
3Department of Bone and Soft Tissue Oncology,Gansu Hospital of Traditional Chinese Medicine,Lanzhou 730050,China.
关键词:
肘管综合征 尺神经沟扩大成形术 尺神经 神经松解术
Keywords:
cubital tunnel syndrome ulnar nerve groove enlargement plasty ulnar nerve nerve release
分类号:
R681.7
DOI:
10.20085/j.cnki.issn1005-0205.230613
文献标志码:
B
摘要:
目的:探讨尺神经沟扩大成形术治疗肘管综合征的疗效。方法:分析2017年6月至2022年8月采用尺神经沟扩大成形术治疗肘管综合征患者30例(中度组7例,重度组23例),随访比较患者术后各时间点尺神经支配区域麻木疼痛程度评分、感觉评分、手内侧肌、握力等恢复情况。结果:术后所有患者根据顾玉东肘管综合征功能评定标准评价功能:中度组患者优7例,良0例,可0例,差0例; 重度组患者优20例,良3例,可0例,差0例。结论:尺神经沟扩大成形术治疗肘管综合征的临床效果明显。
Abstract:
Objective:To investigate the curative efficacy of ulnar nerve groove enlargement plasty on the treatment of cubital tunnel syndrome(CuTS).Methods:From June 2017 to August 2022,30 patients with CuTS(7 cases in moderate group and 23 cases in severe group)were treated with ulnar nerve groove enlargement plasty.The patients were followed up to compare at different time points after operation to compare the degree of numbness and pain in the ulnar nerve innervated area,sensory score,hand internal muscle recovery,grip strength and other recovery.Results:After operation,all patients were evaluated according to Gu Yudong's evaluation criteria of CuTS:7 cases were excellent in moderate group,0 case was good,0 case was fair,and 0 case was poor.In the severe group,20 cases were excellent,3 cases were good,0 case were fair,and 0 case were poor.Conclusion:The clinical efficacy of ulnar nerve groove enlargement plasty on the treatment of CuTS is obvious.

参考文献/References:

[1] HUG N F,SMITH B W,SAKAMURI S,et al.Research reporting in cubital tunnel syndrome studies:an analysis of the literature[J].Acta Neurochir(Wien),2022,164(5):1337-1345.
[2] FEINDEL W,STRATFORD J.The role of the cubital tunnel in tardy ulnar palsy[J].Can J Surg,1958,1(4):287-300.
[3] 顾玉东.腕管综合征与肘管综合征的临床分型现状与建议[J].中华骨科杂志,2011,13(7):818-819.
[4] 顾玉东.腕管综合征与肘管综合征功能评定标准的现状与建议[J].中华创伤骨科杂志,2011,13(1):6-7.
[5] CHENG C,RODNER C M.Associations between insurance type and the presentation of cubital tunnel syndrome[J].J Hand Surg Am,2020,45(1):26-32.
[6] RAUT P,JONES N,RAAD M,et al.Common peripheral nerve entrapments in the upper limb[J].Br J Hosp Med(Lond),2022,83(10):1-11.
[7] 黄熠东,常文凯.肘管综合征的病因诊断及治疗进展[J].实用骨科杂志,2018,24(4):342-345.
[8] 赵飞,张博闻,黄永禄,等.尺神经皮下前置与筋膜下前置治疗肘管综合征[J].中华手外科杂志,2017,33(6):461-463.
[9] 高瞻远,常文凯,郭振业.肘管综合征术后翻修的原因及治疗分析[J].实用骨科杂志,2020,26(10):906-909.
[10] FERGUSON D P,GREWAL R.Cubital tunnel syndrome:review of diagnosis and management.sulkus-ulnaris-syndrom:diagnostik und behandlung[J].Handchir Mikrochir Plast Chir,2022,54(3):253-262.
[11] LEE S K,HWANG S Y,KIM S G,et al.Analysis of the anatomical factors associated with cubital tunnel syndrome[J].Orthop Traumatol Surg Res,2020,106(4):743-749.
[12] 张建华,崔青,刘西斌,等.尺神经沟扩大成形尺神经松解术治疗肘管综合征[J].中国骨与关节损伤杂志,2010,25(9):831-832.

备注/Memo

备注/Memo:
基金项目:2022年平凉市级重点项目(平科任〔2021〕1号)
通信作者 E-mail:1308127849@ qq.com
更新日期/Last Update: 2023-06-10