摘要:
目的:观察术中电刺激、生物蛋白胶、术后分米波综合措施治疗肘管综合征的临床疗效,以探索尺神经损伤较佳的治疗方法.方法:肘管综合征患者64例,随机分为两组:综合治疗组(A组):术中应用电刺激+生物蛋白胶,术后行分米波辐射治疗.对照组(B组):术后口服甲钴胺.两组均行尺神经松解+前置术.观察两组的运动、感觉功能和电生理变化.结果:术后6个月,A组有效率为84.38%,治愈率为46.88%;B组有效率为59.38%,治愈率为21.88%;术后12个月,A组有效率为93.75%,治愈率为68.75%;B组有效率为75.00%,治愈率为43.75%.两组比较均为P<0.05.术后6个月,两组间再生电位、运动电位、MCV及SCV比较差异有显著性意义(P<0.05);术后12个月,两组间再生电位、运动电位比较差异有显著性意义(P<0.05),两组间MCV、SCV比较差异无显著性意义(P>0.05).结论:综合措施是治疗肘管综合征较为理想的方法.%Objective: To observe the therapeutic effects of comprehensive rehabilitation on cubital tunnel syndrome and provide an effective method for clinical treatment.rnMethod: Sixty-four cases with cubital tunnel syndrome patients were randomly divided into two groups, After decompression, comprehensive rehabilitation group were treated with electric stimulation, bioprotein glue and decimeter wave; the control group were treated with drugs. All the patients were evaluated with function of motion and sensory and electrophysiology changes after treatment.rnResult: Six months after operation, in comprehensive rehabilitation group the effective rate was 84.38%, recovery rate 46.88%; in control group the effective rate was 59.38%, recovery rate 21.88%. Twelve months after operation, in comprehensive rehabilitation group the effective rate was 93.75%, recovery rate 68.75%; in control group the effective rate was 75.00%, recovery rate 43.75%, There were statistical significant differences on effective rate and recovery rate in both groups. Six months after operation the reinneration potentials, motor potentials, MCV and SCV in both groups were completely different (P<0,05) . Twelve months after operation the reinneration potentials and motor potentials in both groups were different(P<0.05); but there was no statistical significant difference on MCV and SCV in both groups.rnConclusion: The comprehensive rehabilitation was an effective therapeutic method for peripheral nerve complete impairment.