CAJ | 학술논문

目的：探讨采用尺神经松解皮下前置术治疗肱骨远端陈旧性骨折致肘管综合征的临床疗效。方法对103例患者(轻度16例，中度37例，重度50例)采用尺神经松解皮下前置术治疗。观察患者的尺神经卡压症状和体征恢复情况以及肌电图的结果。结果患者均获随访，时间14~20个月。患者体征均有明显改善，根据中华医学会手外科学会上肢部分功能试用评定标准：优55例，良37例，可9例，差2例，优良率为89．3%。结论采用尺神经松解皮下前置术治疗肱骨远端陈旧性骨折致肘管综合征，手术方式简易，临床疗效好。肌电图检查具有一定的随访价值，肘管指数对手术方式的选择具有一定的实用价值。
목적：탐토채용척신경송해피하전치술치료굉골원단진구성골절치주관종합정적림상료효。방법대103례환자(경도16례，중도37례，중도50례)채용척신경송해피하전치술치료。관찰환자적척신경잡압증상화체정회복정황이급기전도적결과。결과환자균획수방，시간14~20개월。환자체정균유명현개선，근거중화의학회수외과학회상지부분공능시용평정표준：우55례，량37례，가9례，차2례，우량솔위89．3%。결론채용척신경송해피하전치술치료굉골원단진구성골절치주관종합정，수술방식간역，림상료효호。기전도검사구유일정적수방개치，주관지수대수술방식적선택구유일정적실용개치。
Objective To investigate the clinical effects of anterior subcutaneous transposition of the ulnar nerve in the treatment of cubital tunnel syndrome caused by old fracture of the distal humerus. Methods 103 cases (16 cases in mild,37 cases in moderate,50 cases in severe) were treated by anterior subcutaneous transposition of the ulnar nerve. Recovery of symptom and sign of the ulnar nerve entrapped and EMG results were recorded. Results All pa-tients were followed up for 14 ~20 months. According to the trial assessment standards of upper limb function in Hand Surgery Association, 55 cases were graded in excellent, 37 in good, 9 in fair and 2 in poor, the excellent and good rates was 89. 3%. Conclusions The treatment of cubital tunnel syndrome caused by old fracture of the distal humerus using anterior subcutaneous transposition of the ulnar nerve has easier surgical approach and better clinical efficacy. EMG has a certain value in follow-up. Elbows index has a certain value in the treatment options.