生物膜在小切口手术治疗腕管综合征中的应用研究  

Clinical analysis of biofilm in carpal tunnel syndrome by the operation of small incision

作　　者：姜晓琪[1] 史其林[1] 叶作舟[1] 陈臣[1] 顾玉东[1] 

机构地区：[1]复旦大学附属上海华山医院骨科,上海市200040

出　　处：《微创医学》2009年第3期212-213,共2页Journal of Minimally Invasive Medicine

摘　　要：目的研究生物膜在小切口手术治疗腕管综合征中防止神经粘连的作用。方法对应用生物膜的病例(23例)进行2周至3个月的随访,并与未应用生物膜的病例(46例)进行对比分析,对两组术后不适感出现的病例数进行比较。结果使用生物膜的实验组全部病例术后2周至1个月切口区不适感症状消失,对照组不适感症状消失者仅5例,使用生物膜组能显著缩短术后不适感的时间,1个月后症状均消失。结论小切口手术治疗腕管综合征中使用生物膜覆盖正中神经,能有效地防止正中神经与切口粘连,减少术后不适感的出现,适宜在临床工作中推广应用。Objective To evaluate the preventive effect of biofilm on nerve adhesion in the technique of carpal tunnel release by small incision. Method Patients （23 cases） with carpal tunnel syndrome （CTS） wrapped by biofilm were followed up for 2 weeks to 3 months, and contrasted with the patients （46 cases） without biofilm to analyze and compared the time of discomfortableness between the two groups. Result The incision discomfortableness in all patients in the biofilm group disappeared from 2 weeks to 1 month after operation, and that occurred in 5 patients only in the contrast group. The time of discomfortableness in the biofilm group was shorter than that of contrast group, averaging 1 month. Conclusion The biofilm can be advocated for clinical application in that it possesses such advantages as prevention of nerve adhesion, shortened recovery term in the technique of carpal tunnel release by small incision to cure CTS.

关 键 词：生物膜 腕管综合征 正中神经 随访研究 

分 类 号：R687.2[医药卫生—骨科学]