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首页> 外文期刊>Neurosurgery >Simple endoscopic decompression of cubital tunnel syndrome with the Agee system: anatomic study and first clinical results.
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Simple endoscopic decompression of cubital tunnel syndrome with the Agee system: anatomic study and first clinical results.

机译：使用Agee系统对内窥镜下肘管综合征进行简单的内镜减压：解剖学研究和首次临床结果。

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BACKGROUND: Simple decompression in ulnar nerve compression syndromes offers options for endoscopic applications. OBJECTIVE: The authors present their initial experience with the Agee device. PATIENTS AND METHODS: The monoportal endoscopic technique (Agee system) was evaluated on 10 cadaveric arms. Subsequently, 32 arms of 29 patients were operated on between January 2006 and March 2009. All patients presented with typical clinical signs and neurophysiologic studies. Long-term follow-up examinations were obtained in 27 of 32 arms. RESULTS: In the cadaver study, the ulnar nerve was always correctly identified. No nerve damage occurred, and sufficient decompression of the ulnar nerve was always achieved. In the clinical series, no intraoperative complications were observed. A change to open technique was not required, and no worsening of the cubital tunnel syndrome occurred. Two wound infections required surgical wound cleaning. Wound hematomas treated conservatively were found in 5 cases. On long-term follow-up, an improvement in the McGowan- Classification was achieved in 22 of 27 cases. One patient was operated on by open surgery after endoscopic surgery. CONCLUSION: The endoscopic technique for ulnar nerve entrapment syndrome using an Agee device appears to be safe and efficient. The results are comparable to those achieved with simple open decompression. A randomized prospective study should be performed to further evaluate the value of new technique in ulnar nerve entrapment syndrome.
机译：背景：尺神经压迫综合征的简单减压为内窥镜应用提供了选择。目的：作者介绍他们使用Agee设备的初步经验。患者和方法：在10具尸体手臂上评估了单门内窥镜技术（Agee系统）。随后，在2006年1月至2009年3月之间对29例患者的32臂进行了手术。所有患者均表现出典型的临床体征和神经生理学研究。在32组中的27组中进行了长期随访检查。结果：在尸体研究中，始终正确地识别了尺神经。没有发生神经损伤，并且始终实现了尺神经的充分减压。在临床系列中，未观察到术中并发症。无需更改开放技术，也不会发生肘管综合征的恶化。两次伤口感染需要手术伤口清洁。保守治疗伤口血肿5例。经过长期随访，在27例病例中有22例的McGowan分类得到了改善。内镜手术后，通过开放手术对一名患者进行手术。结论：内镜技术使用Agee装置治疗尺神经卡压综合征似乎是安全有效的。结果与简单的开放减压所获得的结果相当。应该进行一项随机的前瞻性研究，以进一步评估新技术在尺神经卡压综合征中的价值。

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