CAJ | 학술논문

目的：比较两种治疗肘管综合征手术方法的疗效。方法回顾分析2008年1月-2012年1月收治的160例肘管综合征患者，其中97例接受传统皮下前置术，63例接受带血运前置术。根据手外科尺神经功能评定标准评价两组患者的尺神经功能，然后分别比较两组的评分、中重度患者的优良率及总优良率。结果术后两组的评分分别为（7.5±0.86）分、（7.4±0.96）分，无统计学差异（P＞0.05）。带血管蒂前置组总优良率为87.3%，略高于传统皮下前置组86.59%（P＞0.05）。两组间中度患者的术后优良率分别为88.09%，94.73%（P＞0.05），但重度患者的优良率分别为85.71%和57.14%（P＜0.05），有统计学差异（P＜0.05）。结论带血运前置术治疗重度肘管综合征疗效优于传统皮下前置术。
목적：비교량충치료주관종합정수술방법적료효。방법회고분석2008년1월-2012년1월수치적160례주관종합정환자，기중97례접수전통피하전치술，63례접수대혈운전치술。근거수외과척신경공능평정표준평개량조환자적척신경공능，연후분별비교량조적평분、중중도환자적우량솔급총우량솔。결과술후량조적평분분별위（7.5±0.86）분、（7.4±0.96）분，무통계학차이（P＞0.05）。대혈관체전치조총우량솔위87.3%，략고우전통피하전치조86.59%（P＞0.05）。량조간중도환자적술후우량솔분별위88.09%，94.73%（P＞0.05），단중도환자적우량솔분별위85.71%화57.14%（P＜0.05），유통계학차이（P＜0.05）。결론대혈운전치술치료중도주관종합정료효우우전통피하전치술。
Objective To compare traditional anterior transposition with anterior transposition with blood supply of the ulnar nerve for the treatment of cubital tunnel syndrome. Methods 160 cases with cubital tunnel syndrome were enrolled in the retrospective study from January 2008 to January 2012. 97 cases were treated by anterior subcutaneous transposition while the others were treated by anterior subcutaneous with blood supply. According the evaluation criteria of ulnar nerve, evaluated the function of the patients then compared the scores of two groups and the improved rate of different level patients. Results The scores of two groups after surgery was (7.5±0.86), (7.4±0.96) respectively(P>0.05), the improved rate of the group with blood supply was 87.3%, which was higher than the anterior subcutaneous 86.59%, but without statistical difference (P>0.05). In two groups the patients with middle score showed no statistical significance in the rate (P>0.05). Two treatments showed a significant difference for the low scores patients 85.71%and 57.14%(P<0.05). Conclusion Anterior subcutaneous with blood supply transposition was better than anterior subcutaneous for the gross cubital tunnel syndrome patients.