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精美动画:肱骨内上髁切除术(附中英文解说)


     
      肱骨内上髁切除可用于治疗肘管综合征。可在全麻或区域麻醉下进行,去除肱骨内上髁(肱关节内侧的骨隆起),以解除尺神经的压迫。




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Overview(概述)

This outpatient procedure, performed under general or regional anesthesia, removes the medial epicondyle (the bony bump on the inner side of the elbow) to alleviate compression of the ulnar nerve. Medial epicondylectomy is used to treat cubital tunnel syndrome.

      本门诊手术,可在全麻或区域麻醉下进行,去除肱骨内上髁(肱关节内侧的骨隆起),以解除尺神经的压迫。肱骨内上髁切除可用于治疗肘管综合征。


Preparation(准备)

Anesthesia is administered, and the patient is positioned to allow access to the inner side of the arm. The area is cleaned and sterilized.

      麻醉后,患者摆放于易于显露胳膊内侧的体位。术区清洁消毒。


Accessing the Joint(显露关节)

The surgeon makes an incision along the inner side of the elbow to access the medial epicondyle. The ulnar nerve is carefully pushed clear of this bony bump.

      外科医生于肘关节内侧作一切口,以显露内上髁,将尺神经小心从该骨隆起处显露推开。


Relieving the Compression(松解压迫)

The surgeon cuts away the medial epicondyle to create more space for the ulnar nerve. This will allow the ulnar nerve to slide unobstructed along the bone when the elbow is bent.

      外科医生将内上髁切除,以为尺神经创造更多的空间。这样可允许肘关节屈曲时尺神经无障碍地沿骨面滑动。


End of Procedure(手术结束)

The incision is closed with sutures, and the arm is bandaged and placed in a splint. The patient is typically allowed to go home either the same day or after an overnight stay.

      逐层缝合关闭切口。胳膊包扎并予支具保护。通常,病人可于手术当天或第二天回家。


Aftercare(术后护理)

The patient may be required to wear a splint for two to six weeks after the surgery. Occupational or physical therapy may be required after the arm has healed.

      术后病人可能需要佩带支具2~6周。胳膊愈合后,需要进行工疗或物理治疗。

(胡佰文    译)



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