CAJ | 학술논문

目的探讨手术治疗尺神经大段缺损并修复其功能的临床疗效.方法回顾性分析成都市第五人民医院1999年9月-2006年12月采用神经端.侧吻合术治疗尺神经大段缺损12例.所有病例手术均将尺神经远端的断端与正中神经行端-侧吻合,术后观察小指感觉和运动、手骨间肌、爪形畸形的恢复情况并与术前对比.结果 12例均随访8～36个月,平均16个月,术后小指的感觉、运动均有明显的恢复,无1例发生切口感染,无关节僵硬和手内在肌肉明显的萎缩.疗效评定参照胥少汀评定标准:S4M4以上(优)6例、S3M3(良)4例、S2M2(可)2例、S1M1(差)0例,优良率达83.3%.结论神经的端-侧吻合术是治疗尺神经大段缺损功能丧失的有效方法.
목적 탐토수술치료척신경대단결손병수복기공능적림상료효.방법 회고성분석성도시제오인민의원1999년9월-2006년12월채용신경단.측문합술치료척신경대단결손12례.소유병례수술균장척신경원단적단단여정중신경행단-측문합,술후관찰소지감각화운동、수골간기、조형기형적회복정황병여술전대비.결과 12례균수방8～36개월,평균16개월,술후소지적감각、운동균유명현적회복,무1례발생절구감염,무관절강경화수내재기육명현적위축.료효평정삼조서소정평정표준:S4M4이상(우)6례、S3M3(량)4례、S2M2(가)2례、S1M1(차)0례,우량솔체83.3%.결론 신경적단-측문합술시치료척신경대단결손공능상실적유효방법.
Objective To evaluate the clinical effect of surgical operation for recovering the function of ulnar nerve with large segment defect. Methods Twentycases with the large segment defect of ulnar nerve were retrospectively analyzed from September 1999 to December 2006 in the hospital.All the patients were treated by the operation of nerve end-to-side neurorrhaphy . The broken end of ulnar nerve was anastomosed with the median nerve. And observed the recovery of the sensation and motion function of the little finger, interosseous muscles and claw hand, then compared with before. Results All cases were followed up for 8 to 36 months. The mean was 16 months. The sensation and motion function of the little fingers had better restoration after operation. No incision infection, anchylosis or myatrophy was occurred.Excellent(M4 + S4 +) ,Good (M3S3), moderate (M2S2), and poor effects (M1S1) were achieved respectively in 6, 4,2 and 0 cases based on the scale of XU' s grading standard.The excellent and good rate was 83.3%. Conclusion The nerve end-to-side neurorrhaphy was a effective treatment for the patients with large segment defect of ulnar nerve.