Pannikar V K, Ramprasad S, Reddy N R, Andrews P, Ravi K, Fritschi E P
Int J Lepr Other Mycobact Dis. 1984 Dec;52(4):501-5.
Sixty-two ulnar nerves belonging to 44 patients with early neuritis were studied to assess the benefits offered by medial epicondylectomy and external decompression in addition to steroid therapy. The patients were randomly allocated to the surgical or the medical group. In those cases where there was bilateral involvement, surgery was carried out only on one side. All cases were assessed prior to treatment, and at predetermined intervals following treatment. This study presents the results after a 12-month follow-up. There was statistically significant improvement in both groups following treatment as assessed by improvement in motor and sensory functions and in the reduction of pain and tenderness. The study, however, failed to demonstrate any added benefit with surgical intervention as compared to steroid therapy alone in the treatment of early ulnar neuritis.
对44例早期神经炎患者的62条尺神经进行了研究，以评估除类固醇治疗外，内侧上髁切除术和外部减压术的益处。患者被随机分配到手术组或药物治疗组。在双侧受累的病例中，仅对一侧进行手术。所有病例在治疗前以及治疗后的预定时间间隔进行评估。本研究呈现了12个月随访后的结果。根据运动和感觉功能的改善以及疼痛和压痛的减轻来评估，两组治疗后均有统计学上的显著改善。然而，该研究未能证明在治疗早期尺神经炎时，与单独使用类固醇治疗相比，手术干预有任何额外的益处。
