关节镜下“双孔道”技术治疗腕管综合征  

Treatment of carpal tunnel syndrome with arthroscopic"two-portal"technique

作　　者：王晓[1,2] 刘玉杰[1] 王志刚[1] 李众利[1] 魏民[1] 蔡谞[1] 朱娟丽[1] 

机构地区：[1]解放军总医院骨科,北京100853 [2]解放军第62医院骨科,普洱665000

出　　处：《军医进修学院学报》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)~~

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.

关 键 词：关节镜检查 腕管综合征 “双孔道”技术 

分 类 号：R684.7[医药卫生—骨科学]