Chaise F, Bouchet T, Sedel L, Witvoet J
J Chir (Paris). 1983 Apr;120(4):251-5.
Three different techniques have been employed for surgical treatment of 62 ulnar nerves at the elbow region provoking neuropathies. Disorders became worse in 2 out of 11 patients treated by endofascicular neurolysis and this procedure should be abandoned. Overall sensory-motor results of subcutaneous anterior transposition of the nerve, performed in 26 cases, were inferior (78 p. cent good results) to those obtained by neurolysis combined with longitudinal epineurotomy (95 p. cent good results), applied in 25 cases. Almost constant disappearance of subjective symptoms, pain and paresthesia, was observed with the two latter methods. Treatment proposed for the ulnar tunnel syndrome is therefore simple neurolysis combined with longitudinal epineurotomy. Prognostic factors cannot be assessed from this study, the age, time between onset and operation, and the degree of paralysis having no incidence on the postoperative improvement obtained.
采用三种不同技术对62例肘部尺神经病变进行手术治疗。11例接受束内神经松解术治疗的患者中有2例病情恶化，该手术应摒弃。26例行神经皮下前置术的患者总体感觉运动结果（良好结果占78%）不如25例行神经松解联合纵行神经外膜切开术的患者（良好结果占95%）。后两种方法几乎总能消除主观症状、疼痛和感觉异常。因此，针对尺管综合征建议的治疗方法是单纯神经松解联合纵行神经外膜切开术。本研究无法评估预后因素，年龄、发病至手术的时间以及瘫痪程度对术后改善情况均无影响。
