CAJ | 학술논문

目的：探讨采用尺神经外膜松解并尺神经皮下前置术治疗肘管综合征的疗效。方法：对经确诊的26例肘管综合征患者，采用尺神经外膜松解及尺神经皮下前置术，术中观察并记录尺神经卡压的部位、范围、粗细及质地等；术后观察患者感觉恢复、肌萎缩恢复、爪型手恢复及手指内收、外展等功能恢复情况。结果：26例肘管综合征病例均获随访，23例明显改善，运动感觉均获恢复；2例感觉恢复，运动无恢复；1例运动、感觉均无恢复。结论：尺神经外膜松解并尺神经皮下前置术，操作简单、疗效肯定，是治疗肘管综合征的有效方法；对肘管综合征患者，保守治疗无效者尽早手术。
목적：탐토채용척신경외막송해병척신경피하전치술치료주관종합정적료효。방법：대경학진적26례주관종합정환자，채용척신경외막송해급척신경피하전치술，술중관찰병기록척신경잡압적부위、범위、조세급질지등；술후관찰환자감각회복、기위축회복、조형수회복급수지내수、외전등공능회복정황。결과：26례주관종합정병례균획수방，23례명현개선，운동감각균획회복；2례감각회복，운동무회복；1례운동、감각균무회복。결론：척신경외막송해병척신경피하전치술，조작간단、료효긍정，시치료주관종합정적유효방법；대주관종합정환자，보수치료무효자진조수술。
Objective:To explore the effect of ulnar nerve fore set ( UNF) with epineurium neurolysis ( EN) of cubital tunnel syndrome (CTS).Methods:26 patients with cubital tunnel syndrome (CTS) were performed with ulnar nerve fore set (UNF) with epineurium neu-rolysis(EN).The location,scope,caliber and texture of ulnar nerve entrapments were observed and recorded intraoperatively while the sen -sory,muscular atrophy , claw hand deformities recovery and the adduction and abduction functional recovery of fingers were observed and recorded post -operatively.Results:All the patients were followed up for 6 months -3 years.Among them, the sensory and motion of 23 cases were recovered satisfactorily and 2 cases sensory function was recovered completely while one case did not recover both motion and sensory function .Conclusions:The way of ulnar nerve fore set ( UNF) with epineurium neurolysis ( EN) to treat the cubital tunnel syndrome ( CTS) is simple and effective .Patients with cubital tunnel syndrome ( CTS) ,especially the nonresponders by expectant treatment ,are per-formed as better as possible .