3种手术方式治疗腕管综合症的临床优劣分析  

Clinical Analysis of Treatment of Carpal Tunnel Syndrome with Three Kinds of Operations

作　　者：孟国成[1] 陈立科[1] 陈四华[1] 徐昱[1] 吴波[1] 

机构地区：[1]湖南省第二人民医院手足外科,长沙市410007

出　　处：《中华全科医学》2011年第8期1225-1226,共2页Chinese Journal of General Practice

摘　　要：目的对比3种手术方式治疗腕管综合症的临床疗效以及并发症。方法选择96例腕管综合症住院病例,随机分成3组,每组32例,分别行传统手术、小切口手术和关节镜手术。结果 3组患者术后1个月疗效比较,传统手术组疗效明显优于关节内镜手术组,差异有统计学意义(P<0.05),但是术后3个月的疗效比较,3组间差异无统计学意义。3个月后患者两点分辨觉比较,差异无统计学意义(P>0.05),3组患者均无神经损伤的发生,瘢痕痛的发生传统手术组明显高于其他两组,传统手术组的手术时间以及住院时间也明显多于其他两组(P<0.05)。结论 3种手术方法比较:传统切开方法腕管探查松解彻底、可靠,但是有明显的后遗症;关节镜方法切口小,镜下直视切开,不易损伤其他组织;但是需要专用器械和熟练的操作技术。小切口方法无需特殊器械,适用于基层医院开展。Objective To compare the clinical effect and its complications for the treatment of carpal tunnel syndrome（CTS） with three kinds of operations.Methods All 96 cases were randomly divided into 3 groups,32 cases in each group,treated by traditional operation,small-cut operation,arthroscope operation respectively.Results Comparison of effect after operation 1 month,traditional operation had better effect than arthroscope operation（P〈0.05）,but after operation 3 months,the effective difference had no statistical significance among 3 groups（P〉0.05）.After 3 months,there weren’t nerve injury among 3 groups’ patients,the incidence of cicatricle pain of traditional operation was more than other two groups,and the operative time and length of stay were longer than other two groups also（P〈0.05）.Conclusion Comparison of 3 operative methods,traditional cut operation,carpal canal investigation relax thoroughly,reliably,but with obvious sequel;arthroscope operation,with tiny cut,looking steadily at scope,damaging other issues hardly,but need special instruments and perfect manipulation.Small-cut method was fit for layer hospital without special instruments.

关 键 词：传统手术 小切口手术 关节镜手术 腕管综合症 

分 类 号：R658.29[医药卫生—外科学]