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肘部尺神经转位术的技术问题:再次手术的发现与结果

Technical problems with ulnar nerve transposition at the elbow: findings and results of reoperation.

作者信息

Broudy A S, Leffert R D, Smith R J

出版信息

J Hand Surg Am. 1978 Jan;3(1):85-9. doi: 10.1016/s0363-5023(78)80121-x.

DOI:10.1016/s0363-5023(78)80121-x
PMID:621371
Abstract

Ten patients who had persistent or recurrent paresthesias, muscular weakness, or sensory loss following transposition of the ulnar nerve at the elbow were explored. Operative findings included compression of the nerve at the intermuscular septum or at the entrance to the cubital tunnel, dense scarring after intramuscular transposition, and constriction by fascial slings. The average interval from the previous operation to re-exploration was 13 months. All patients were improved following neurolysis and submuscular transposition. Recovery was incomplete in nine patients. The average follow-up was 14.5 months.

摘要

对10例在肘部尺神经转位术后仍有持续或反复感觉异常、肌肉无力或感觉丧失的患者进行了探查。手术发现包括神经在肌间隔或肘管入口处受压、肌内转位后形成致密瘢痕以及筋膜吊带造成的狭窄。从上一次手术到再次探查的平均间隔时间为13个月。所有患者在进行神经松解和肌下转位术后均有改善。9例患者恢复不完全。平均随访时间为14.5个月。

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