尺神经深支损伤的治疗体会

Treatment of deep branch injury of ulnar nerve

目的探讨尺神经深支损伤的临床治疗体会。方法自2013年1月至2018年8月我们共诊治了20例尺神经深支损伤患者,回顾分析尺神经深支损伤的病因、诊断及手术治疗效果。结果术后所有患者均获得随访,时间为8.9-68.1个月,平均37.0个月,患手功能评价参照中华医学会手外科学会上肢功能评定试用标准:优11例,良4例,可4例,差1例。结论尺神经深支损伤需早期诊断并尽早行手术治疗,神经缝合或松解术的效果与神经变性或手内肌纤维化程度有关。

Objective To explore the clinical treatment of deep branch of ulnar nerve injury. Methods From January 2013 to August 2018, 20 cases of deep branch of ulnar nerve injury were treated. The etiology, diagnosis and surgical treatment of deep branch of ulnar nerve injury were analyzed retrospectively. Results All the patients were follow-up for 8.9 to 68.1 months with an average of 37.0 months. According to the criteria of upper extremity functional evaluation issued by the Hand Surgery Society of the Chinese Medical Association, the results were rated as excellent in 11 cases, good in 4 cases, fair in 4 cases and poor in 1 case. Conclusion The injury of the deep branch of ulnar nerve requires early diagnosis and early sui^ical treatment. The effect of nerve suture or neurolysis is related to the degree of neurodegeneration or intrinsic myofibrosis.