腕管镜下Chow法手术治疗糖尿病腕管综合征  

Outcomes of endoscopic carpal tunnel release with Chow's technique in diabetic patients

作　　者：徐祎[1] 杜世伟[1] 高天[1] 

机构地区：[1]中国人民武装警察部队总医院神经外科,北京100039

出　　处：《临床神经外科杂志》2015年第1期58-60,63,共4页Journal of Clinical Neurosurgery

摘　　要：目的评价双切口Chow法腕管镜手术减压(ECTR)治疗糖尿病腕管综合征的安全性和有效性。方法回顾分析糖尿病腕管综合征患者70例90腕在局麻下行双切口Chow法腕管镜下腕管切开手术临床资料。结果根据Kelly分级,随访90腕中74腕优,8腕良,7腕一般,1腕差。优良率为91%。没有复发病例。平均恢复工作时间为3.5周。无手术相关的神经血管和肌腱损伤,无感染病例。结论采用Chow法腕管镜下对糖尿病腕管综合征进行治疗,安全、有效、创伤小、恢复快。鉴于糖尿病患者机体恢复较差,与常规开放腕管手术相比,创伤小的内镜手术更为适合。Objective To investigate the safety and efficacy of endoscopic carpal tunnel release（ ECTR） with Chow ’ s technique in diabetic patients.Methods The clinical data of 70 patients （ 90 wrists ） were underwent ECTR using Chow ’ s two portal technique under local anesthesia were analyzed retrospectively.Results According to Kelly’ s criteria, the results were excellent in 74 wrists, good in 8, fair in 7 and poor in 1.The excellent and good rate was 91%. The mean period for returning to work was 3.5 weeks.In addition, no operation-induced neurovascular or tendon injury and infection ocurred in any patients .Conclusions ECTR with Chow’ s technique in diabetic patients is safe and effective.Compared with OCTR, with reduction in the destruction of tissue and rapid postoperative recovery , ECTR is more suitable for diabetic patients.

关 键 词：腕管综合征 糖尿病 手术治疗 关节镜 

分 类 号：R687.2[医药卫生—骨科学]