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为了降低迟发性尺神经炎的发生率,我们对1988~1995年收治的85例青少年肱骨内上髁骨折患者,按三种治疗方法进行回顾性分析,76例经过平均2年3个月的随访,结果合并迟发性尺神经炎25例,占32.9%,以闭合复位组发生率最高,以切开复位并尺神经一期前移组发生率最低(P<0.01)。文中从解剖,病理的角度讨论了迟发性尺神经炎的发生机理及治疗方法。提出切开复位并尺神经一期前移是降低迟发性尺神经炎的有效办法。
In order to reduce the incidence of delayed ulnar neuritis, we retrospectively analyzed 85 cases of adolescent humeral medial condyle fractures admitted from 1988 to 1995 according to three kinds of treatment methods, and 76 cases were treated with an average of 2 years and 3 months Follow-up, results of 25 cases of delayed ulnar neuritis, accounting for 32.9%, with closed reduction group the highest incidence of open reduction and ulnar nerve in the first stage group the lowest incidence (P <0.01). This paper discusses the mechanism and treatment of delayed ulnar neuritis from the anatomical and pathological point of view. It is suggested that incision and reduction and ulnar nerve anterior move is an effective way to reduce delayed ulnar neuritis.