中国内镜杂志2017，Vol.23Issue(12)：20-24,5.DOI:10.3969/j.issn.1007-1989.2017.12.005
单切口和无特殊辅助器械改良内镜松解术治疗 腕管综合征的疗效观察
Efficacy of modified endoscopic release in treatment of carpal tunnel syndrome
摘要
Abstract
Objective To explore a new technology system with single-portal and without special equipment to complete the arthroscopic treatment of carpal tunnel syndrome. Methods All the patients with CTS were randomly divided into two groups, modified endoscopic carpal tunnel release (MECTR) group (22 cases) and open carpal tunnel release (OCTR) group (24 cases). Nine parameters were evaluated, which including operation time, intraoperative complications, two-point discrimination 3 months after the operation, hospitalization time, scar pain score, incision infection rate, each patient's symptom amelioration (Kelly grading), the time needed to resume normal lifestyle and activity, symptoms of sympathetic dystrophy. Results No significant difference was observed between the MECTR group and OCTR group in regard to incision infection rate, intraoperative complications, two-point discrimination,symptoms of sympathetic dystrophy and clinical symptoms amelioration. In comparison to OCTS, MECTR significantly decreased operation time, hospitalization time, scar pain score and the time needed to resume normal lifestyle and activity. Conclusion MECTR for treatment of carpal tunnel syndrome has higher patient satisfaction, shorter operation time and hospitalization time, earlier return to work or normal lifestyle, less postoperative scar pain, so it is an effective method for the treatment of idiopathic carpal tunnel syndrome.关键词
腕管综合征/内镜/关节镜/改良Key words
carpal tunnel syndrome/endoscopy/arthroscopy/modified分类
医药卫生引用本文复制引用
涂俊波,张光明,覃健..单切口和无特殊辅助器械改良内镜松解术治疗 腕管综合征的疗效观察[J].中国内镜杂志,2017,23(12):20-24,5.基金项目
南京市2016年度科技发展计划项目(No:201605066) （No:201605066）
2016年度南京医科大学科技发展基金重点项目(No:2016NJMUZD036) （No:2016NJMUZD036）
