内窥镜治疗腕管综合征的疗效观察  

Effect of Reforming Endoscopic Minimally Invasive Releasing(REMIR) for the Treatment of Carpal Tunnel Syndrome

作　　者：毛庆龙[1] 唐哲明[1] 杨小辉[1] 陈彬[1] 首家保[1] 崔泽龙[1] 

机构地区：[1]广西医科大学第四附属医院烧伤整形外科,广西壮族自治区柳州市545005

出　　处：《组织工程与重建外科杂志》2013年第6期336-337,共2页Journal of Tissue Engineering and Reconstructive Surgery

摘　　要：目的观察内窥镜治疗腕管综合征的临床疗效。方法2009年至今,利用内窥镜单切口入路,通过切开腕管、松解正中神经,治疗腕管综合征18例(30侧)。术前及术后3个月进行神经电生理测试,测定正中神经掌腕段感觉及运动传导速度。结果本组患者术后随访6个月,术后3个月正中神经感觉、运动神经传导速度明显较术前加快(P<0.05),患者肢体感觉基本恢复正常,未见复发。结论内窥镜治疗腕管综合征疗效确切,术后正中神经功能恢复明显。Objective To explore the clinical effect of reforming endoscopic minimally invasive releasing （REMIR） for the treatment carpal tunnel syndrome. Methods Since 2009, 18 patients （30 sides） with carpal tunnel syndrome were treated with REMIR by cutting the transverse carpal ligament and releasing the median nerve completely under endoscope monitor. Preoperative and 3 months postoperative sensation and motor conduction velocity of median nerve were measured by neuroelectrophysiology. Results All the patients were followed up for 6 months. Three months postoperative sensation and motor conduction velocity of all the patients were faster than preoperative （P〈0.05）. The limb sensation was almost back to normal and no recurrence was observed. Conclusion The REMIR method is effective and gets functional rehabilitation of median nerve after operation.

关 键 词：内窥镜 腕管综合征 神经电生理 

分 类 号：R658.2[医药卫生—外科学]