| 郑笑天,迟鸣立,刘鹏程,余 欣,陆君豪.尺神经原位松解术与尺神经皮下前置术治疗肘管综合征近期疗效比较的回顾性研究[J].,2020,(14):2771-2775 |
| 尺神经原位松解术与尺神经皮下前置术治疗肘管综合征近期疗效比较的回顾性研究 |
| A Retrospective Study on the Short-term Effect of Ulnar Nerve in Situ Release and Subcutaneous Preposition in the Rreatment of Cubital Tunnel Syndrome |
| 投稿时间：2020-03-07 修订日期：2020-03-30 |
| DOI：10.13241/j.cnki.pmb.2020.14.038 |
| 中文关键词: 尺神经原位松解术 尺神经皮下前置术 肘管综合征 近期疗效 比较 |
| 英文关键词: In situ release of ulnar nerve Subcutaneous anterior transposition of ulnar nerve Cubital tunnel syndrome Short-term effect Comparison |
| 基金项目:吉林省科技厅优秀青年基金项目（20170520014JH2） |
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| 中文摘要: |
| 摘要 目的：比较尺神经原位松解术与尺神经皮下前置术治疗肘管综合征（CuTS）近期疗效。方法：本研究为回顾性研究，选取2016年7月~2017年7月期间我院二部收治的60例CuTS患者，根据手术方式的不同分为A组（n=32，尺神经原位松解术）和B组（n=28，尺神经皮下前置术），比较两组患者优良率、并发症、围术期指标、感觉运动功能（肌力、小指指端两点辨别觉、神经传导速度）以及DASH上肢功能障碍（DASH）评分。结果：B组术后12个月的优良率为92.86%（26/28），高于A组的68.75%（22/32）（P<0.05）。两组术后并发症总发生率比较差异无统计学意义（P>0.05）。两组术后12个月肌力、神经传导速度升高，且B组高于A组（P<0.05），两组术后12个月小指指端两点辨别觉降低，且B组低于A组（P<0.05）。两组术后3个月、术后6个月、术后12个月DASH评分呈下降趋势，且B组低于A组（P<0.05）。B组手术切口长度、手术时间长于A组（P<0.05），两组术后住院时间比较差异无统计学意义（P>0.05）。结论：与尺神经原位松解术相比，尺神经皮下前置术治疗CuTS患者，虽然手术切口长度、手术时间相对较长，但其优良率更高，同时可有效恢复患者感觉运动功能及减轻其上肢功能障碍，且不增加并发症发生率，具有一定的临床应用价值。 |
| 英文摘要: |
| ABSTRACT Objective: To compare the short-term results of ulnar nerve in situ release and subcutaneous anterior transposition in the treatment of cubital tunnel syndrome (CuTS). Methods: This study was a retrospective study. 60 patients with CuTS from July 2016 to July 2017 in The second Department of our hospital, they were divided into two groups according to the different operation methods: group A (n=32, in situ release of ulnar nerve) and group B (n=28, subcutaneous anterior transposition of ulnar nerve). The excellent rate, complications, perioperative indexes, muscle strength, two-point discrimination sense of little finger tip and nerve conduction velocity were compared between the two groups And DASH score. Results: The excellent and good rate of 12 months after operation in group B was 92.86%（26/28）, which was higher than 68.75%（22/32） in the control group (P<0.05). There was no significant difference in the total incidence of postoperative complications between the two groups (P>0.05). The muscle strength and nerve conduction velocity of the two groups increased 12 months after operation, and group B was higher than group A(P<0.05). The DASH scores of the two groups were decreased in 3 months, 6 months and 12 months after operation, and group B was lower than group A (P<0.05). The incision length and operation time of group B were longer than that of group A (P<0.05), and there was no significant difference in the postoperative hospitalization time between the two groups (P>0.05). Conclusion: Compared with in situ release of the ulnar nerve, subcutaneous anterior transposition of the ulnar nerve has a higher excellent rate in the treatment of cuts, although the incision length and operation time are relatively long, and it can effectively improve the upper extremity dysfunction without increasing the incidence of complications, so it has a higher clinical application value. |
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