Tabakov D
Zentralbl Neurochir. 1982;43(1):51-62.
A survey of problems associated with surgical therapy and postoperative results obtained in nontraumatic and traumatic cubital tunnel denervation syndrome is given in correlation with the preoperative condition of denervation and the extent of surgical intervention. The author has arrived at the conclusion that only operative microsurgical analysis of complicated biomechanics of the ulnar nerve along the cubital tunnel can determine precisely the extent and type of surgery required. The assessment of the degree of preoperative denervation and postoperative reinnervation was uniform according to the author's own criteria of sensory and motor functions of the ulnar nerve. Clinical features of the patients operated on was supplemented by preoperative and postoperative electrodiagnostic examinations. The results obtained are highly satisfactory and confirm that indication and choice of correct method of surgical intervention were justified.
本文结合术前失神经状态及手术干预程度,对非创伤性和创伤性肘管去神经综合征的手术治疗相关问题及术后结果进行了调查。作者得出结论,只有对沿肘管的尺神经复杂生物力学进行手术显微镜分析,才能准确确定所需手术的范围和类型。根据作者自己制定的尺神经感觉和运动功能标准,对术前失神经程度和术后再支配程度的评估是一致的。术前和术后的电诊断检查补充了手术患者的临床特征。所获得的结果非常令人满意,并证实手术干预的指征和正确方法的选择是合理的。