摘要
目的探讨关节镜下"双孔道"技术腕横韧带减压对腕管综合征的疗效。方法 2002年11月-2008年12月对31例(36腕)腕管综合征,应用关节镜下"双孔道"技术("Two-Portal"technique)行腕横韧带松解。术后随访1-7年,平均39个月。结果随访28例(33腕),术后1年Kelly分级评定:优20例(23腕),良7例(9腕),一般1例;术后无正中神经损伤及粘连等并发症。结论关节镜下"双孔道"腕横韧带松解术切口小、创伤少、手术时间短,效果良好。
Objective To study the therapeutic effect of transverse carpal ligament release on carpal tunnel syndrome (CTS) with arthroscopic "two-portal" technique. Methods Transverse carpal ligament was released with arthroscopic "two-portal" technique for 31 patients (36 wrists) in November 2002- December 2008. The patients were followed up for 1-7 years (mean 39 months). Results The Kelly score was excellent, good, and fair for 20(23 wrists), 7(9 wrists), and 1 patients, respectively, among the 28 patients(33 wrists) who were followed up. No complications such as median nerve injury and adhesion occurred. Conclusion Arthroscopic "two-portal" technique is an effective surgical procedure for transverse carpal ligament release with minimal incision, less tissue trauma, and shorter operation time.
出处
《军医进修学院学报》
CAS
2010年第10期959-960,963,共3页
Academic Journal of Pla Postgraduate Medical School
基金
国家科技支撑计划项目(2007BA104B09)~~