针刺联合肘管扩大成形术治疗肘管综合征的应用

Application of Acupuncture Combined with Ulnar Groove Plasty Expansion and Shaping for the Treatment of Cubital Tunnel Syndrome

摘要: 目的：观察针刺对于肘管综合征患者在肘管扩大成形尺神经松解术后功能康复的临床疗效。方法：将2018年6月~2019年6月于我院收治的50例中重度肘管综合征患者，在臂丛麻醉下行肘管扩大成形尺神经松解术，术后给予营养神经药物结合针灸治疗。结果：治疗8周后50例患者测量手部感觉和力量较之前均有明显改善，有10例患者患肢环指两点辨别觉恢复正常。15例骨间肌萎缩患者术后随访1年，萎缩明显改善，爪行手改善，手部分并指功能改善。结论：应用针灸联合肘管扩大成形术的方法治疗肘管综合征有较好的临床疗效。

Abstract: Objective: To observe the clinical effect of acupuncture on functional rehabilitation of patients with cubital tunnel syndrome after situ cubital tunnel release with ulnar groove plasty expansion and shaping. Methods: From June 2018 to June 2019, 50 patients with moderate to severe cubital tunnel syndrome were underwent brachial plexus anesthesia underwent ulnar groove plasty, and postoperative acupuncture treatment on the basis of conventional treatment. Results: After 8 weeks treatment, the hand sensation and strength of all patients were improved compared with before treatment, and the discerning sense at two points in the ring finger of 10 patients returned to normal. Fifteen patients with interosseous muscular atrophy were followed up for 1 year, atrophy was significantly improved, hand movement and syndactyl function of hand were improved. Conclusion: The application of acupuncture and moxibustion can significantly improve the recovery of hand movement and sensory functions after cubital expansion.