带血管蒂尺神经肌筋膜下前置术治疗轻度肘管综合征
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潍坊市人民医院

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The treatment of mild degree cubital tunnel syndrome through ulnar nerve with blood vessel fore-lying muscle fascia.
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1.weifang people'2.'3.s hospital

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    摘要:

    摘要: [目的] 评价带血管蒂尺神经肌筋膜下前置术治疗轻度肘管综合征的疗效。[方法] 通过对6例防腐成人上肢标本观察测量肘部尺神经血供来源和血管外径及血管长度的相关数据,对20例轻度肘管综合征患者,分为两组,分别采用带血管蒂尺神经肌筋膜下前置术和单纯肌筋膜下前置术,参照中华医学会手外科学会制定的尺神经修复后功能评定试用标准,Lascar分级法和术前术后尺神经神经电生理变化,对患者的疗效进行评价比较。[结果] 尺神经的营养伴行血管有3条。伴神经走行的长度分别尺侧上副动脉(144.0±3.3)mm;尺侧下副动脉 (47.6±7.2)mm;尺侧返动脉后支( 66.2±8.3)mm。带血管尺神经筋膜下前置术优良率为90%,单纯肌筋膜下前置术优良率为80%,两组比较差异有统计学意义。神经电生理检查:带血管尺神经肌筋膜下前置术优于单纯肌筋膜下前置术,两组比较差异有统计学意义。[结论] 带血管蒂尺神经肌筋膜下前置术疗效可靠,是治疗轻度肘管综合征的有效方法。

    Abstract:

    Abstract: [object] To evaluate the effect of through ulnar nerve with blood vessel fore-lying muscle fascia treating mild degree Cubital Tunnel Syndrome. [Methods] We studied 6 adult’s upper limb specimens from corpse which reserved in formaldehyde, and observed the blood supply of elbow ulnar nerve and blood vessel diameter and length, and we accounted these related datas. 20 cases which underwent the mild degree cubital tunnel syndrome were divided into two groups, group 1 treatment with the ulnar nerve with blood vessel, group 2 treatment with the ulnar nerve without blood vessel. Reference to the restoration of ulnar nerve’s function evaluation standard which made by the Chinese medical association, and the Lascar classification method and electrophysiologic studies. we evaluated the treatment effect.[Result] There were 3 vessels that accompany the ulnar nerve around the elbow.The length of the vessel accompanying the ulnar nerve was (144.0±3.3)mm for superior ulnar collateral artery,(47.6±7.2)mm for inferior ulnar collateral artery,and ( 66.2±8.3) mm for the posterior branch of ulnar recurrent artery.The excellent and good rate was 90% in group 1 with blood vessel and 80% in group 2 without blood vessel,the difference was statistically sinificant.The electrophysiologic studies ,the group 1 with blood vessel was better than that of group 2 without blood vessel ,the difference was statistically sinificant..[Conclusion] The method of ulnar nerve with blood vessel fore-lying muscle fascia treating mild degree Cubital Tunnel Syndrome is reliable, and effective.

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  • 收稿日期:2022-06-22
  • 最后修改日期:2022-06-22
  • 录用日期:2023-05-31
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