摘要
目的分析比较微创技术(内窥镜、腕部小切口)与传统切开方法治疗腕管综合征的术后疗效。方法对60例(72侧)腕管综合征的患者,采用内窥镜、腕部小切口及传统切开方法进行治疗。采用Kelly评价、两点分辨觉的改善、手术时间及并发症的发生情况,对3组术式的疗效进行分析比较。结果术后随访时间平均为12个月,3种手术方法术后疗效的优良率基本相同,差异无统计学意义(P>0.05),但内窥镜和小切口组在手术时间、住院天数、瘢痕痛方面均明显少于传统切开组,差异有统计学意义(P<0.01)。结论微创手术在手掌部残留的瘢痕小、手术耗时短,与传统腕管切开减压术疗效等同。
Objective To investigate and compare the treatment outcomes among endoscopic carpal tunnel release （ECTR）, limited incision carpal tunnel release and open carpal tunnel release （OCTR） for management of carpal tunnel syndrome. Methods Seventy-two cases of carpal tunnel syndrome were treated by 3 different carpal tunnel release procedures： endoscopic, limited incision, and open. Postoperative results were assessed using Kelly＇ s standard, two point discrimination, and complications. Operative time was also compared. Results All the patients were followed-up for an average of 12 months. There was no significant difference in the therapeutic results of the three surgical groups（ P 〉 0.05）. The operative time of ECTR and limited incision groups was significantly shorter than the OCTR group（ P 〈 0.01）. Patients of these two groups also had shorter hospital stay and minor scar. Conclusion Compared with the OCTR method, the minimal invasive methods have the advantages of causing smaller skin scar and being less time consuming while still being effective.
出处
《中华手外科杂志》
CSCD
北大核心
2007年第2期77-78,共2页
Chinese Journal of Hand Surgery
关键词
腕管综合征
外科手术
微创性
治疗结果
Carpal tunnel syndrome
Surgical procedures,minimal invasive
Treatment outcome
