Miller R G, Camp P E
JAMA. 1979 Oct 12;242(15):1636-9.
Although compressive ulnar neuropathy developing during surgical procedures under general anesthesia has been recognized, clinical and electrophysiological features of this neuropathy have been incompletely described. During the past two years, we have seen eight patients with this complication, mainly following intra-abdominal or intrathoracic operations. Neuropathy was associated with a persistent severe deficit during a mean follow-up of 23.5 months (range, six to 96 months) after operation. Electrophysiological studies verified substantial Wallerian degeneration in the majority of patients. Clinical and electrophysiological data, as well as intraoperative findings in some patients, suggest that compression occurred at the cubital tunnel. These patients with ulnar neuropathy had a particularly poor prognosis, whether treated surgically (decompression or transposition) or medically. Prevention of ulnar nerve compression during major operations therefore assumes paramount importance.
尽管在全身麻醉下进行手术过程中发生的压迫性尺神经病变已得到认识，但该神经病变的临床和电生理特征尚未得到完整描述。在过去两年中，我们遇到了8例患有这种并发症的患者，主要是在腹部或胸部手术之后。在术后平均23.5个月（范围为6至96个月）的随访期间，神经病变与持续的严重功能缺损相关。电生理研究证实大多数患者存在实质性的华勒氏变性。临床和电生理数据，以及部分患者的术中发现，提示压迫发生在肘管。这些尺神经病变患者的预后特别差，无论接受手术治疗（减压或转位）还是药物治疗。因此，在大手术期间预防尺神经受压至关重要。
