肘管综合征的临床与解剖学研究（附62例分析）

The Cubital tunnel syndrome:A clinical and Anatomical study──A Report of 62 Cases

本文对６２例肘管综合征手术治疗进行了分析，并对４０例尸体上肢的肘管及尺神经在肘部的解剖做了测量和观察。对三角弓状韧带做了分型和测量，以及尺神经在韧带上缘的变化，指出髁上横韧带的意义。本组病因以继发外伤最多３８例，肿瘤１３例，先天肘外翻４例，骨性关节炎３例等。主要病理改变在尺神经及弓状韧带。手术多行弓状韧带切开，尺神经前移，神经内外松解术。手术效果优良率９２．６％。有明显肌萎缩者虽经手术，但很难复原，其预后取决于神经受损程度。

ixty-two Patiedts with cubital tunnel sydrome were oporated. The cubital tunnel and ulnar nerve at albew were measured and oberved in the autopoy of 40 upper extremitates,Classification and measurement of arcuate ligamemt,changes of uinar nerve on the suporior border of the ligament were done.The supracondylar transverse lig-ament is of primary imporance .The cases was mostly sec-ondary injury in the group including 38 cases. Tumour,Congenital cubitus valgus and osteoarthritis were 13,4 and 3 cases respoctively .the main pathologic changes were located in arcuate ligament and uinar nerve. Incision of arcuate ligament,anterior disptacement of uinar nerve and endoneurolysis or epineurolysis performed .The rate of excelenle and effective hess is92.6%. The patient with obvious myeatrophy was deffecult to recover even through oporation. The prognosis depends on the extent of nerve mjury.