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[尺神经松解及掌侧移位术后的长期疗效]

[Long-term results after neurolysis and palmar transposition of the ulnar nerve].

作者信息

Brantschen R, Küpfer K

机构信息

Chirurgische Abteilung, Regionalspitals Burgdorf.

出版信息

Chirurg. 1991 Apr;62(4):314-6.

PMID:1860356
Abstract

We reviewed 41 patients with 43 proximal ulnar nerve compression syndromes. The usual procedure was neurolysis of the ulnar nerve und subcutaneous transposition. The average follow-up period was 5 1/2 years (15 1/4 years to 3 months). The M/F ratio is 2.4:1. Most of the patients are hard manual workers, the dominant arm is most often affected, and 60% have some form of an injury in their history. About half of the patients followed-up have extensive relief of pain, loss of sensibility and weakness of the hand. But only 8 patients feel to have a perfect result. A few do complain of some tenderness in the scar region, some sensibility loss and a Tinel sign along the anterior route of the transposed nerve. Regaining of strength last months or even years. There is a general tendency to better final results in younger patients.

摘要

我们回顾了41例患有43例尺神经近端卡压综合征的患者。常规手术是尺神经松解及皮下移位。平均随访期为5年半(15年零3个月至3个月)。男女比例为2.4:1。大多数患者是从事体力劳动的工人,优势手臂最常受累,60%的患者有某种形式的受伤史。约一半接受随访的患者手部疼痛、感觉丧失和无力得到了广泛缓解。但只有8名患者感觉结果完美。少数患者确实抱怨瘢痕区域有一些压痛、感觉丧失以及移位神经走行前方有Tinel征。力量恢复需要数月甚至数年。年轻患者总体上有获得更好最终结果的趋势。

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