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术中电刺激促进肘管综合征患者术后的短期恢复。

Intraoperative electrical stimulation promotes the short-term recovery of patients with cubital tunnel syndrome after surgery.

机构信息

Department of Microsurgery, The Hebei Cangzhou Hospital of Integrated Traditional Chinese Medicine and Western Medicine, No. 31 Huanghe West Road, Cangzhou, 061000, Hebei, China.

Hebei Key Laboratory of lntegrated Traditional and Western Medicine in Osteoarthrosis Research (Preparing), Cangzhou, China.

出版信息

J Orthop Surg Res. 2023 Apr 3;18(1):270. doi: 10.1186/s13018-023-03668-x.

Abstract

BACKGROUND

This study was designed to investigate whether intraoperative electrical nerve stimulation has effects on the short-term recovery of cubital tunnel syndrome patients after ulnar nerve release.

METHODS

Patients diagnosed as cubital tunnel syndrome were selected. At the same time, they received conventional surgery treatment. The patients were divided by a randomized digits table into two groups. The control group underwent conventional surgery, and the electrical stimulation (ES) group underwent intraoperative electrical stimulation. All the patients were tested for sensory and motor functions, grip strength, key pinch strength, motor conductivity velocity (MCV), and maximum compound muscle action potential (CMAP) before operation and 1 month and 6 months after operation.

RESULTS

In patients treated with intraoperative ES, the sensory and motor functions and the strength of muscle were significantly improved after 1-month and 6-month follow-up than the control group. After the follow-up, the patients in the ES group had significantly higher grip strength and key pinch strength than the control group. After the follow-up, the patients in the ES group had significantly higher MCV and CMAP than the control group.

CONCLUSION

Intraoperative electrical stimulation of nerve muscle can significantly promote the short-term recovery of nerve and muscle functions after the surgery in cubital tunnel syndrome patients.

摘要

背景

本研究旨在探讨术中电神经刺激对尺神经松解术后肘管综合征患者短期恢复的影响。

方法

选择肘管综合征患者,同时进行常规手术治疗。采用随机数字表法将患者分为两组,对照组行常规手术,电刺激(ES)组行术中电刺激。所有患者术前及术后 1 个月、6 个月分别检测感觉和运动功能、握力、指捏力、运动传导速度(MCV)和最大复合肌肉动作电位(CMAP)。

结果

在接受术中 ES 治疗的患者中,随访 1 个月和 6 个月后,感觉和运动功能以及肌肉力量明显优于对照组。随访后,ES 组患者的握力和指捏力明显高于对照组。随访后,ES 组患者的 MCV 和 CMAP 明显高于对照组。

结论

术中电刺激神经肌肉可显著促进肘管综合征患者术后神经和肌肉功能的短期恢复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4205/10069011/061d9e15297c/13018_2023_3668_Fig1_HTML.jpg

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