《中国康复理论与实践》

《中国康复理论与实践》 ›› 2003, Vol. 9 ›› Issue (12): 711-712.

• 专题研究 • 上一篇    下一篇

尺侧腕伸肌及拇长伸肌移位重建拇指对掌功能

薄占东;洪光祥;王发斌   

  1. 华中科技大学同济医学院附属协和医院手外科 湖北武汉市 430022
  • 收稿日期:2003-10-27 出版日期:2003-12-25 发布日期:2003-12-25

Reconstruction of thumb opposing function by transfering the extensor carpi ulnaris and the extensor pollicis longus muscle tendons

BO Zhan-dong, HONG Guang-xiang, WANG Fa-bin   

  1. Department of Hand Surgery, Union Hospital of Tongji Medcial College of Huazhong University of Science and Technology, Wuhan 430022, Hubei, China
  • Received:2003-10-27 Published:2003-12-25 Online:2003-12-25

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摘要： 目的评价尺侧腕伸肌及拇长伸肌移位重建拇指对掌功能的治疗效果。方法回顾性分析1990年以来,我院接受尺侧腕伸肌及拇长伸肌移位术重建拇指对掌功能的29例腕部正中神经不可逆损伤患者、20例正中神经合并尺神经损伤患者的随访结果(随访6—12个月)。结果29例正中神经不可逆损伤患者中,优21例、良8例,优良率100%;20例正中神经合并尺神经损伤患者中,优9例、良7例、可4例,优良率80%。结论对腕部正中神经不可逆损伤,特别是合并尺神经损伤患者,尺侧腕伸肌及拇长伸肌移位术是一种理想的重建拇指对掌功能的手术方法,且操作简单,效果好。

关键词: 尺侧腕伸肌, 拇长伸肌, 拇指对掌功能, 正中神经损伤

Abstract: Objective To evaluate results of reconstructing thumb opposing function by transfering the extensor carpi ulnaris and the extensor pollicis longus muscle tendons. Methods Forty-nine patients with dysfunction of thumb opposing were admitted to this study. Twenty-nine had median nerve injury in the wrist, twenty complicated ulnar nerve injury at the same time. Thumb opposing function of all patients was reconstructed by transfering the extensor carpi ulnaris and the extensor pollicis longus muscle tendons. Results All patients with median nerve injury got satisfactory results. 80% of patients complicated ulnar nerve injury got fine therapeutic effect. Conclusion It is a convenient and efficient procedure that reconstructing thumb opposition function by transfering the extensor carpi ulnaris and the extensor pollicis longus muscle tendons.

Key words: musculus extensor carpi ulnaris, musculus extensor pollicis longus, thumb opposing function, median nerve injury