肘管综合征康复诊疗规范【概述】肘管综合征又称迟发性尺神经炎，是指各种原因造成的肘部尺神经受卡压所引起的，以进行性手内在肌萎缩无力和手尺侧麻木为主要表现的临床症状群。
【临床表现］尺神经在肘管中受压后的常见症状是前臂内侧及环小指的渐进性的感觉麻木与感觉迟钝,病情发展可出现手内部肌萎缩、无力。
临床检查可见小鱼际及骨问肌萎缩，环小指指深屈肌、尺侧屈腕肌、小指展肌、骨问肌肌力减弱，严重者有爪形手畸形。
尺神经沟内尺神经压痛、增粗，Tine1.征阳性，小指及环指尺侧两点别觉增大，Froment征。
阳性。
有的病人可发现肘外翻畸形及尺神经半脱位。
肘关节屈曲试验阳性（肘管的Pha1.en征），当屈曲肘关节时，手部感觉异常加重。
【辅助检直】1、神经电生理诊断；2、X线检直、CT或MRI;3、超声检查。
【康复评定】1 .疼痛评定；2 .感觉功能评定；3 .肌肉周径测量；4 .肌力评定；5 .关节活动度；6 .日常生活活动能力及生活质量评定【治疗原则】1 .非手术治疗：磁会神经组织的炎性反应，改善神经的血液循环，以恢复神经的轴浆运输。
病程短、病情轻的肘管综合征病人可行保守治疗01）应用神经营养药物、局蜩闭2）针灸治疗3）疼痛严重时可口服非笛体消炎药。
4）矫形器固定：由于部分病人因夜晚睡眠中屈曲肘关节而加重症状，可采用支架固定肘关节于轻度屈曲位（70.）,可能有助于缓解症状,促进愈合.5）运动疗法：神经滑动/活动练习6）物理因子疗法：磁疗、激光、高频电、超声波、神经肌肉电刺激、电子生物反馈、红外线等；7）针刀治疗。
2.手术治疗：经2~4周的保守治疗无效，或病情严重，有肌肉瘫痪，萎缩,肌电图检直有异常表现，应及早手术解除压迫，可采用神经松解、尺神经前移等方法。
对同时伴有肘夕阖者，还需进行肱骨牌上截骨矫正。
尺神经前移是目前治疗肘管综合征的有效方法。
包括口服非笛类抗炎药、注射疗法、针刀疗法。
【预后】本病经非手术治疗，预后可，但应尽量避免受风寒湿侵袭、减少肘关节活动，防止肘关节重复损伤。
肘管综合征病理诊断金标准英文回答：Cubital tunnel syndrome is a condition that affects the ulnar nerve as it passes through the cubital tunnel in the elbow. The ulnar nerve is responsible for providing sensation to the ring and little fingers, as well as controlling certain muscles in the hand.The gold standard for diagnosing cubital tunnel syndrome is a combination of clinical examination and electrodiagnostic testing. During the clinical examination, the physician will assess the patient's symptoms, such as numbness or tingling in the ring and little fingers, weakness in hand grip, and pain in the elbow. They will also perform specific tests, such as the Tinel's sign and the elbow flexion test, to further evaluate the compression of the ulnar nerve at the cubital tunnel.Electrodiagnostic testing, including nerve conductionstudies and electromyography, is essential in confirming the diagnosis of cubital tunnel syndrome. Nerve conduction studies assess the speed and strength of nerve signals, while electromyography evaluates the electrical activity of the muscles. These tests can help identify the location and severity of nerve compression.In addition to the clinical examination and electrodiagnostic testing, imaging studies such as ultrasound or magnetic resonance imaging (MRI) may be used to further evaluate the structures around the cubital tunnel, including the ulnar nerve and surrounding tissues. These imaging modalities can provide detailed anatomical information and help identify any structural abnormalities or lesions that may be contributing to the nerve compression.It is important to note that while these diagnostic tests are considered the gold standard, the final diagnosis of cubital tunnel syndrome should also take into account the patient's medical history, physical examination findings, and response to conservative treatments. In somecases, a nerve conduction study may not show definitive evidence of nerve compression, but the patient's symptoms and clinical presentation may still indicate the presence of cubital tunnel syndrome.中文回答：肘管综合征是一种影响尺神经通过肘管的病症。
