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[肘管综合征的治疗进展]

[Progress of treatment of cubital tunnel syndrome].

作者信息

Yu Shiyang, Liu Shen, Fan Cunyi

出版信息

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2014 Aug;28(8):1043-6.

PMID:25417323
Abstract

OBJECTIVE

To review the current progress of treatment of cubital tunnel syndrome (CTS).

METHODS

Recent relevant literature on the treatment of CTS was extensively reviewed and summarized.

RESULTS

CTS is one of the most common peripheral nerve compression diseases. The clinical presentations of CTS consist of numbness and tingling in the ring and small fingers of the hand, pain in the elbow and sensory change following long-time elbow bending. Severe symptoms such as weakness or atrophy of intrinsic muscles of the hand and claw hand deformity may occur. The etiology of CTS is ulnar nerve compression caused by morphological abnormalities and nerve paralysis after elbow trauma. CTS can be treated by nonsurgical methods and surgery. Surgical options include in situ decompression, ulnar nerve transposition, medial epicondylectomy, and endoscopic release.

CONCLUSION

There are multiple options to treat CTS, but the indication and effectiveness of each treatment are still controversial. Further studies are required to form a generally accepted treatment system.

摘要

目的

回顾肘管综合征(CTS)的当前治疗进展。

方法

广泛查阅并总结近期有关CTS治疗的相关文献。

结果

CTS是最常见的周围神经卡压疾病之一。CTS的临床表现包括手部环指和小指麻木、刺痛,肘部疼痛以及长时间屈肘后的感觉改变。可能会出现手部内在肌无力或萎缩以及爪形手畸形等严重症状。CTS的病因是肘部创伤后形态异常和神经麻痹导致的尺神经受压。CTS可通过非手术方法和手术治疗。手术选择包括原位减压、尺神经转位、内侧上髁切除术和内镜下松解。

结论

治疗CTS有多种选择,但每种治疗方法的适应证和有效性仍存在争议。需要进一步研究以形成普遍接受的治疗体系。

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