Department of Neurological Surgery, Johann Wolfgang von Goethe University, Frankfurt/Main, Germany.
Neurosurgery. 2013 Apr;72(4):605-16; discussion 614-6. doi: 10.1227/NEU.0b013e3182846dbd.
Both open ulnar nerve decompression and retractor-endoscopic ulnar nerve decompression have been shown to yield good results. However, a comparative evaluation of the techniques is lacking.
To compare the results of open and endoscopic surgery in cubital tunnel syndrome.
One hundred fourteen patients undergoing open (n = 59) or endoscopic (n = 55) decompression of the ulnar nerve for cubital tunnel syndrome were retrospectively compared. The long- and short-term outcomes were compared with respect to the time until return to full activity and the duration of postoperative pain. Additionally, matched pairs between the 2 groups were chosen for analysis (n = 34).
Long-term results in the open vs endoscopic groups were as follows: excellent results, 54.2% vs 56.4%; good results, 23.8% vs 32.7%; fair results, 20.3% vs 9.1%; and poor results, 1.7% vs 1.8%, respectively. For the matched pairs, the results had similar significance levels (P = .84). The times until return to full activity in the open vs the endoscopic groups were as follows: 2 to 7 days, 18.6% vs 76.4%; 7 to 14 days, 55.9% vs 10.9%; and > 14 days, 25.4% vs 12.7% (P < .001 between nonmatched and matched pairs). The durations of postoperative pain in the open vs the endoscopic groups were as follows: 1 to 3 days, 45.8% vs 67.3%; 3 to 10 days, 42.5% vs 25.4%; and > 10 days, 11.7% vs 7.3% (P =.04 for nonmatched and P = .05 for matched pairs).
There are no significant differences in long-term outcomes after open and retractor-endoscopic in situ decompression of the ulnar nerve in cubital tunnel syndrome. The short-term results are significantly better in endoscopic surgery.
开放性尺神经松解术和可屈式内窥镜下尺神经松解术均已被证实能取得良好的效果。然而，对于这两种技术的比较评估还很缺乏。
比较肘管综合征患者接受开放性和内窥镜手术的效果。
回顾性比较了 114 例接受开放性（n = 59）或内窥镜（n = 55）尺神经松解术治疗肘管综合征的患者。比较了两组患者在完全活动恢复时间和术后疼痛持续时间方面的长期和短期结果。此外，还选择了两组的匹配对（n = 34）进行分析。
开放性组与内窥镜组的长期结果如下：优结果分别为 54.2%和 56.4%；良结果分别为 23.8%和 32.7%；可结果分别为 20.3%和 9.1%；差结果分别为 1.7%和 1.8%。对于匹配对，结果具有相似的显著性水平（P =.84）。开放性组与内窥镜组的完全活动恢复时间如下：2-7 天分别为 18.6%和 76.4%；7-14 天分别为 55.9%和 10.9%；>14 天分别为 25.4%和 12.7%（非匹配和匹配组之间 P <.001）。开放性组与内窥镜组的术后疼痛持续时间如下：1-3 天分别为 45.8%和 67.3%；3-10 天分别为 42.5%和 25.4%；>10 天分别为 11.7%和 7.3%（非匹配和匹配组之间 P =.04 和 P =.05）。
在肘管综合征中，开放性和可屈式内窥镜下尺神经原位松解术的长期效果没有显著差异。内窥镜手术的短期效果明显更好。
