Medial epicondylectomy for ulnar nerve compression syndrome at the elbow.
Medial epicondylectomy for ulnar nerve compression syndrome at the elbow.
复制标题
内上髁切除术治疗肘部尺神经压迫综合征。
DOI：
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复制
发表时间：
1979
影响因子：
4.2
通讯作者：
C. Gauntt
中科院分区：
文献类型：
--
作者：
R. Jones;C. Gauntt
对19例肘部尺神经卡压综合征患者在内侧上髁切除术后6~17个月(22条肢体)进行评估。内侧上髁切开术去除了尺神经受到创伤压迫的突起，不需要手术处理该神经。所有患者术前、术后神经传导速度结合主客观评价。术后神经传导速度与结果及神经传导速度的百分比变化率之间存在显著的统计学相关性。优10条(48%)，可4条(17%)，差8条(35%)。不良组的4条肢体和一般组的1条肢体有近端受压神经病变的电学证据，这影响了最终结果。排除有近端神经病证据的患者将产生76%的良好或可结果。对新鲜身体尺神经长度的测量表明，如果要获得准确的术前和术后速度，尺神经传导速度研究应在肘关节屈曲70度时进行。
Nineteen patients were evaluated 6--17 months after medial epicondylectomy (22 extremities) for ulnar nerve compression syndrome at the elbow. Medial epicondylectomy removes the prominence against which the ulnar nerve can be traumatically compressed and no operative handling of the nerve is necessary. Pre- and postoperative nerve conduction velocities were combined with subjective and objective evaluations of all patients. Statically significant correlations were found between the result and the postoperative nerve conduction velocity and the result and the per cent change of nerve conduction velocity. Ten extremities were classified as good results (48%), 4 as fair results (17%), and 8 as poor results (35%). Four limbs in the poor category and one limb in the fair category had electrical evidence of proximal compression neuropathy which compromised the end result. Exclusion of the patients with evidence of proximal neuropathy would yield 76% good or fair results. Measurement of ulnar nerve lengths in fresh cadavers demonstrated that ulnar nerve conduction velocity studies should be performed at 70 degrees of elbow flexion if accurate pre- and postoperative velocities are to be obtained.