CAJ | 학술논문

目的：探讨腕尺管综合佂的诊断及治疗。方法：2006年6月～2013年5月，治疗腕尺管综合征36例。保守治愈21例，糖皮质激素加神经营养剂，局部封闭，每5～7天1次；手术治疗15例，Guyon管切开减压及尺神经松解。结果：36例患者术后随访33例，随访时间1～3年，平均2年。末次随访19例症状消失，感觉及运动功能基本恢复正常，手指灵活，握持有力，萎缩肌肉亦稍有不同程度的恢复，恢复了病前工作。13例治疗症状改善，感觉功能恢复正常，运动功能大部分恢复，手内肌萎缩未见恢复。1例效果差，病程5年，症状部分改善，感觉大部分恢复，运动及萎缩肌未见恢复。结论：Guyon管是尺神经在腕部的易嵌压部位，早期用非手术治疗可使部分患者治愈，晚期则应手术治疗。
목적：탐토완척관종합정적진단급치료。방법：2006년6월～2013년5월，치료완척관종합정36례。보수치유21례，당피질격소가신경영양제，국부봉폐，매5～7천1차；수술치료15례，Guyon관절개감압급척신경송해。결과：36례환자술후수방33례，수방시간1～3년，평균2년。말차수방19례증상소실，감각급운동공능기본회복정상，수지령활，악지유력，위축기육역초유불동정도적회복，회복료병전공작。13례치료증상개선，감각공능회복정상，운동공능대부분회복，수내기위축미견회복。1례효과차，병정5년，증상부분개선，감각대부분회복，운동급위축기미견회복。결론：Guyon관시척신경재완부적역감압부위，조기용비수술치료가사부분환자치유，만기칙응수술치료。
Objective:To discuss the traits of compression, diagnosis and treatment of thecompression of ulnar nerve at the wrist. Methods:Between June 2006 and May 2013, 36cases of the ulnar nerve compression at the wrist syndrome were treated, 21 cases were injected glucocorticoid and neurenergen at Guyon's canal one every 5~7d;There were 15 cases Guyon canal opened decompression and ulnar nerve released.Results:Among 33 cases were followed up,19 cases of symptoms disappeared, sensory and motor functions returned to be normal, fingers returned to be flexible, grip retured to be strong, muscle atrophy retureded to recoverin slightly different degrees, work of the pre~disease was recovered.13 cases of symptoms were improved, sensory function returned to be near normal, the majority of motor function were recovered , but the hand muscle atrophy was not recovery.1 case of effection was bad, duration 5 years, some of symptoms was improved, sensory was slightly recovered, motor function and muscle atrophy were not recovered.Conclusion:Ulnar nerve was easy to be compressed at Guyon's canal.Early non~surgical treatment could cure some patients, surgical treatment should be maken at advanced stage.