Benoit B G, Preston D N, Atack D M, Da Silva V F
Neurosurgery. 1987 Apr;20(4):594-8. doi: 10.1227/00006123-198704000-00015.
Sixty-six patients with ulnar nerve entrapment at the elbow underwent neurolysis and the application of a Silastic envelope in an attempt to prevent postoperative scarring and recurrence of symptoms. All patients were evaluated pre- and postoperatively using a numerical scoring system that included clinical, motor, and sensory evaluation as well as nerve conduction studies. The Silastic material was well tolerated in the 70 cases. The overall 66% score improvement was more closely related to clinical relief (64%) than to improvement in motor conduction velocities (45%). Our 10-year experience indicates that ulnar neurolysis with Silastic envelope interposition is a safe surgical method of treatment for ulnar nerve entrapment at the elbow.
66例肘部尺神经卡压患者接受了神经松解术，并应用了硅橡胶包膜，以试图防止术后瘢痕形成和症状复发。所有患者在术前和术后均使用数字评分系统进行评估，该系统包括临床、运动和感觉评估以及神经传导研究。硅橡胶材料在70例患者中耐受性良好。总体66%的评分改善与临床缓解（64%）的关系比与运动传导速度改善（45%）的关系更为密切。我们10年的经验表明，采用硅橡胶包膜置入的尺神经松解术是治疗肘部尺神经卡压的一种安全的手术方法。
