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采用单纯减压治疗尺神经卡压性神经炎。

Compression neuritis of the ulnar nerve treated with simple decompression.

作者信息

Thomsen P B

出版信息

Acta Orthop Scand. 1977;48(2):164-7. doi: 10.3109/17453677708985129.

DOI:10.3109/17453677708985129
PMID:868499
Abstract

The purpose of this investigation was to test the hypothesis submitted by Osborne (1957), which proposed that the symptoms of compression ulnar neuritis, in most cases, result from compression on the ulnar nerve at the proximal border of the aponeurosis of the flexor carpi ulnaris muscle. Thirty-two simple decompression operations were performed on 31 patients, diagnosed as suffering from compression neuritis of the ulnar nerve. They were subsequently examined over a period of 5 years. Relief from symptoms was achieved in 28 cases, whilst four patients derived no improvement from the operation. Three of the four unsuccessful cases were judged to have been incorrectly diagnosed and were not suffering from compression of the ulnar nerve in the elbow. A second operation was required in two patients, in one a second decompression and in the other anteposition. No surgical or post-surgical complications occurred.

摘要

本次调查的目的是验证奥斯本(1957年)提出的假说,该假说认为,在大多数情况下,尺神经卡压性神经炎的症状是由尺侧腕屈肌腱膜近端边界处的尺神经受压所致。对31名被诊断为患有尺神经卡压性神经炎的患者进行了32次单纯减压手术。随后对他们进行了为期5年的检查。28例患者症状得到缓解,而4例患者手术后未见改善。4例手术失败的病例中有3例被判定诊断错误,并非肘部尺神经受压。2例患者需要进行二次手术,其中1例进行了二次减压,另1例进行了前置手术。未发生手术或术后并发症。

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Compression neuritis of the ulnar nerve treated with simple decompression.采用单纯减压治疗尺神经卡压性神经炎。
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Clin Orthop Relat Res. 2012 May;470(5):1405-13. doi: 10.1007/s11999-012-2263-1. Epub 2012 Feb 14.
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Ulnar nerve pathology at the elbow: the place of anterior transposition today.肘部尺神经病变:当前尺神经前置术的地位
Acta Neurochir (Wien). 1982;64(1-2):75-85. doi: 10.1007/BF01405621.
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Anatomical basis for a technique of ulnar nerve transposition.
Surg Radiol Anat. 1986;8(3):155-61. doi: 10.1007/BF02427843.
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Posttraumatic ulnar neuropathy versus non-traumatic cubital tunnel syndrome: clinical features and response to surgery.创伤后尺神经病变与非创伤性肘管综合征:临床特征及手术疗效
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