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肘管综合征35例远期随访分析

LONG-TERM FOLLOW-UP OF 35 CASES OF ELBOW TUNNEL SYNDROME

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【作者】 张高孟; 顾玉东; 严计庚; 成效敏;

【Author】 Zhang Gaomeng, et al. Department of Hand Surgery, Huashan Hospital, Shanghai Medical University

【机构】 上海医科大学附属华山医院手外科; 上海医科大学附属华山医院手外科;

【摘要】 我院从1964年到1985年共收治肘管综合征48例,随访35列,优良者占71.4%。随访时距手术后的时间平均为6.4年。随访表明病人年龄、症状持续时间及术前不同的感觉障碍症状不影响手术疗效。严重的神经内疤痕术后效果差。远期随访内在肌萎缩的程度对手术疗效的影响无统计学意义。本文强调神经受压引起的内在肌萎缩不同于神经断伤所致的内在肌萎缩,一旦压迫解除,仍有恢复可能。只要严格注意术中有关技术问题,不同的手术方法均可获得较好的疗效。

【Abstract】 Thirty-five cases of elbow tunnel syndrome operated between 1964 and 1985 were followed 6.4 years in average. Excellent and good results were obtained in 71.4%. The results showed that patient’s age, duration of disease or loss of sensation did not influence the efficacy of treatment, but in cases with serious endoneural scar the outcome of treatment was bad. Long-term follow-up also showed that the degree of interosseous muscles atrophy had no significant relation with curative results. It is stressed that interosseous atrophy due to nerve compression is different from that due to nerve injuries. The compressed nerve will recover perfectly after release from compression.

  • 【文献出处】 上海医学 ,Shanghai Medical Journal , 编辑部邮箱 ,1987年09期
  • 【被引频次】43
  • 【下载频次】86
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