旋前屈肌腱延长术联合尺神经肌下前置治疗肘管综合征的临床疗效分析

Clinical Analysis of Cubital Tunnel Syndrome Treated With Flexor Tendon Lengthening Combined With Anterior Submusclar Transposition of Ulnar Nerve

目的探讨旋前屈肌腱延长术联合尺神经肌下前置在肘管综合征治疗中的疗效。方法 2009年3月—2015年12月,收治32例肘管综合征患者,采用旋前屈肌腱延长术联合尺神经肌下前置治疗。结果术后环小指及手掌尺側皮肤两点辨别觉较术前明显改善,差异有统计学意义(P<0.05);手握力和环小指握力明显恢复,握力器测量值较术前明显改善,差异有统计学意义(P<0.05);神经肌电图测量术前术后患者肘部尺神经电位传导速率差异有统计学意义(P<0.05);按照Bishop评分系统,优27例、占84.3%,良2例、占6.3%,差3例、占9.4%。结论采用旋前屈肌腱延长术联合尺神经肌下前置是治疗肘管综合征可靠、有效的方法。

Objective To investigate the effect of cubital tunnel syndrome treated with flexion tendon lengthening combined with anterior submusclar transposition of ulnar nerve. Methods From March 2009 to December 2015, 32 patients with cubital tunnel syndrome were treated with flexor tendon lengthening combined with anterior submusclar transposition of ulnar nerve. Results Two point discrimination of skin in ring finger and ulnar pahn were improved after surgery when compared with that of preoperation （P〈0.05）; grip strength of hand and ring finger were improved, the measure of hand- muscle developer was improved when compared with that of preoperation （P〈0.05）; the difference of potential conduction rate of ulnar nerve in elbow measured with electroneuromyography before and after surgery was statistic significant （/~〈0.05）. According to Bishop scoring system, 27 cases were excellent, accounted for 84.3%, 2 cases were good, accounted for 6.3%, 3 cases were poor, accounted for 9.4%. Conclusion The surgery of flexor tendon lengthening combined with anterior submusclar transposition of ulnar nerve is a reliable and effective method for the treatment of cubital tunnel syndrome.