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find Author "戴志刚" 2 results
  • ANATOMICAL CHANGES AND DYNAMIC ANALYSIS AFTER ANTERIOR SUBMUSCULAR TRANSPOSITIONIN TREATING CUBITAL TUNNEL SYNDROME

    Objective To produce anatomical theory evidence for treatment of cubital tunnel syndrome with anterior submuscular transposition.Methods Of 32 patients with cubital tunnel syndrome, there were 22 males and 10 females, aged 17-73 years. The distribution of the branches of superior ulnar collateral arteryand the relationship between superior ulnar collateral artery and ulnar nerve were observed; the position, scope and diameter of ulnar nerve lesion were also observed; the volume of new cubit tunnel was measured with dilator. Twenty cubituses of adult cadavers were made the models of anterior subcutaneous transposition and anterior submuscular transposition of ulnar nerve. Length changes of ulnar nerve in different situations were observed.Results Superior ulnar collateral artery could be transposed with ulnar nerve, and new cubit tunnel was wide enough to contain ulnar nerve. In the context of anterior subcutaneous transposition, the ulnar nerve was lengthened by 7.55%±0.52% when compared with that of preoperation in the case of elbow extension, there was significant difference (P<0.05). In the context of anterior submuscular transposition, there was nosignificant difference in length of the ulnar nerves between preoperation and postoperation(P>0.05).Conclusion Anterior submuscular transposition can overcome compression and pull of elbow on the ulnar nerve and has sufficient blood supply. New cubital tunnel is wide enough to contain ulnar nerve. Ulnar nerve anterior submuscular transposition is a useful method in treating cubital tunnel syndrome.

    Release date:2016-09-01 09:33 Export PDF Favorites Scan
  • 嵌甲的病因学探讨及疗效分析

    探讨嵌甲的病因,分析手术治疗嵌甲的有效性。 方法 2000 年4 月- 2005 年4 月,收治82例中、重度嵌甲患者。其中男48 例,女34 例;年龄14 ~ 25 岁,平均19.5 岁。均为口止母 趾发病,其中甲缘单侧44 例,双侧38 例。就诊前复发次数:初诊12 例,1 次复发者20 例,2 次复发者26 例,3 次及以上复发者24 例。术前口止母 趾外露甲体宽度患侧为(16.51 ± 0.27)mm,健侧为(16.56 ± 0.26)mm。手术将糜烂增生的甲皱襞、嵌入的趾甲及其下的甲床、嵌甲的甲根一并切除。 结果 82 例患者术后伤口愈合时间10 ~ 18 d,平均12.3 d。2 例伤口感染,经换药后愈合。68 例获随访3 个月~ 3 年6 个月,平均1 年4 个月,无1 例复发。术后随访功能评价,9 分以上62 例,占91.2%。从82 例患者中随机抽选20 例进行数据分析,术后口止母 趾外露甲体宽度患侧为(16.46 ± 0.27)mm,健侧为(16.56 ± 0.26)mm,与术前比较差异均无统计学意义(P gt; 0.05),外形满意。 结论 嵌甲的发生与不良修甲有关,正确选择术式不仅能根治嵌甲,而且可获得美观外形。

    Release date:2016-09-01 09:12 Export PDF Favorites Scan
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