肘管综合征单纯松解术疗效的临床评价

A clinical efficacy assesmnent of simple decompression of cubital tunnel syndrome

目的通过对53例肘管综合征行单纯松解术的患者进行随访研究，评价其临床疗效，为临床正确选择肘管综合征的手术方法提供理论依据。方法随访研究53例行单纯肘管切开松解术的患者，从术前病情的不同严重程度，病程的不同长短，以及患者的年龄等方面，研究其手术疗效，并以同期行尺神经皮下前置术的134例患者作为对照，统计分析其疗效的差异。结果在无肘关节畸形的情况下，肘管综合征单纯松解术与尺神经前置术的疗效无差异，与术前严重程度无关，与病程长短无关，而与患者年龄相关。结论在无肘关节畸形的情况下，单纯松解与尺神经前置疗效无差异。

Objective To assess the clinical efficacy via a follow-up study of 53 cases of cubital tunnel syndrome with a procedure of simple decompression of ulnar nerve in order to provide a theoretical basis on how to choose an appropriate type of procedure for the patient with cubital tunnel syndrome. Methods The clinical efficacy of the procedure of simple decompression of ulnar nerve was evaluated from the preoperative condition of different severity, preoperative duration of different length via a follow-up study of 53 cases. The difference of the clinical efficacy was statistically analyzed by comparison with 134 cases treated by a procedure of subcutaneous anterior transposition of the ulnar nerve. Results There were no statistically significant differences of clinical efficacy between the procedure of simple decompression and anterior subcutaneous transposition when there was no deformity at the elbow joint. The clinical efficacy was not related with the degree of preoperative severity and preoperative duration, but related with the age of the patients. Conclusion Simple decompression and subcutaneous anterior transposition lead to similar clinical efficacy when there was no deformity at elbow joint.