CAJ | 학술논문

　　目的探讨带血管蒂尺神经前置术在中重度肘管综合征治疗中的疗效。方法2004年7月至2010年7月，对53例中重度肘管综合征患者应用2种不同术式进行了治疗。传统尺神经前置术患者22例，带血管蒂尺神经前置术患者31例。结果随访时间12~48个月，平均24个月。根据中华医学会手外科学会上肢部分功能评定试用标准，传统尺神经前置组：优2例，良10例，可7例，差3例。带血管蒂尺神经前置组：优6例，良19例，可5例，差1例。两组比较，其差异具有统计学意义。结论带血管蒂尺神经前置术治疗中重度肘管综合征，优于传统的尺神经前置术。
　　목적탐토대혈관체척신경전치술재중중도주관종합정치료중적료효。방법2004년7월지2010년7월，대53례중중도주관종합정환자응용2충불동술식진행료치료。전통척신경전치술환자22례，대혈관체척신경전치술환자31례。결과수방시간12~48개월，평균24개월。근거중화의학회수외과학회상지부분공능평정시용표준，전통척신경전치조：우2례，량10례，가7례，차3례。대혈관체척신경전치조：우6례，량19례，가5례，차1례。량조비교，기차이구유통계학의의。결론대혈관체척신경전치술치료중중도주관종합정，우우전통적척신경전치술。
Objective To discuss the therapy effect of anterior transposition of the vascularized ulnar nerve in the treatment of moderate and severe cubital tunnel syndrome. Methods Fifty three patients suffered moderate and severe cubital tunnel syndrome were selected, including 22 patients applying traditional ulnar nerve transposition and 31 patients applying the vascularized ulnar nerve transposition. Results All the patients were followed up, with the following time from 12 months to 48 months, averaged 24 months. According to the Chinese medical society of hand surgery trial upper part of the standard evaluation function assessment, the results were excellent in 2 cases, good in 10, fair in 7 and poor in 3 cases in traditional group. The results were excellent in 6 cases, good in 19, fair in 5 and poor in 1case. The difference between two groups shows statistical signiifcance. Conclusion The vascularized unlar nerve anterior transposition is a better choice in the treatment of moderate and severe cubital tunnel syndrome compared with traditional ulnar nerve transposition.