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肘部尺神经卡压的手术治疗

Surgical treatment for ulnar nerve entrapment at the elbow.

作者信息

Asamoto Shunji, Böker Dieter-Karsten, Jödicke Andreas

机构信息

Department of Neurosurgery, Justus-Liebig University of Giessen.

出版信息

Neurol Med Chir (Tokyo). 2005 May;45(5):240-4; discussion 244-5. doi: 10.2176/nmc.45.240.

Abstract

The outcomes of 81 operations were assessed for the treatment of ulnar nerve entrapment at the elbow performed on 55 males (bilateral operations in one) and 25 females during the period from January 1995 to December 2000. Before operation, neurophysiological examination was performed in all patients. Simple ulnar nerve decompression or anterior transposition of the ulnar nerve (subcutaneous or intramuscular) was performed with or without the operating microscope. Nine patients were lost to follow up. The outcome was excellent or good in 63 of 72 cases, no change in eight cases, and poor in one case. The outcomes of procedures performed with the operating microscope tended to be superior.

摘要

对1995年1月至2000年12月期间55名男性(其中1人接受双侧手术)和25名女性进行的81例肘部尺神经卡压治疗手术的结果进行了评估。所有患者术前均进行了神经生理学检查。采用或不采用手术显微镜进行单纯尺神经减压或尺神经前移(皮下或肌内)。9例患者失访。72例中的63例结果为优或良,8例无变化,1例差。使用手术显微镜进行的手术结果往往更好。

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