尺神经前移治疗肘管综合征

Therapeutic effect of anterior transposition of ulnar nerve to treat cubital tunnel syndrome

目的：观察运用尺神经前移治疗肘管综合症的疗效。方法：对30例肘部尺神经卡压患者全部采用尺神经前移术，并从struths弓到屈指肌腱进行探查松解，术中注意保护尺神经血供。结果：尺神经在探查中发现肘部多处卡压（平均卡压3处）。平均随访14个月，优良率90％。结论：（1）尺神经卡压症病程在1年左右者手术疗效明确。（2）手术必须对尺神经易卡压的5个部位都进行探查与松解。探查过程中务必保护尺神经血供。（3）尺神经卡压选择将神经前移是从根本上预防神经再卡压较为理想的方法。

Objective：To observe the therapeutic effect of anterior transposition of ulnar nerve to treat the cubital tunnel syndrome . Methods：Thirty patients of cubital tunnel syndrome were treated by anterior transposition of ulnar nerve and ulnar nerve relaxion from Struths Bow to flexor tendon .Be careful to preserve the blood supply of ulnar nerve during the operation .Results：Ulnar nerve compression was found in multiple sites near the elbow part during the operation （3 sites in average）.The patients were followed up for 14 months in average and the excellent and good rate was 90%.Conclusion：1.The patients of cubital tunnel syndrome would have a promising thera-peutic effect if operated in one year＆#39;s time.2.Be sure to relax all the five sites vulnerable to compression and preserve the blood supply during the operation.3.Anterior transposition of ulnar nerve might be an ideal way to prevent the recompression throughly .