小切口腕管松解术与传统腕管松解术治疗腕管综合征的效果比较  

Effect comparison of less incision of the carpal tunnel release with traditional carpal tunnel release

作　　者：黄秦邶 张基仁[2] 齐勇[2] 李驰[2] 关雨[2] 

机构地区：[1]广东省汕尾市人民医院骨外科,广东汕尾516600 [2]辽宁医学院第一附属医院手外科,辽宁锦州121001

出　　处：《中国当代医药》2015年第19期94-97,100,共5页China Modern Medicine

摘　　要：目的探讨小切口腕管松解切开术与传统腕管松解术治疗腕管综合征（CTS）的效果。方法选择2006年10月~2008年10月辽宁医学院附属第一医院手外科治疗的特发性CTS患者32例46腕,其中16例24腕采用小切口腕管松解术为A组,16例22腕采用传统腕管松解术为B组。比较两种腕管松解方法的切口长度、手术时间、术后住院时间、恢复工作时间、术后两点辨别觉、术后并发症及随访情况。结果 A组在切口长度、开/关切口时间、实际手术时间、术后住院时间、术后恢复工作时间等项目均短于B组,差异有统计学意义（P〈0.01）;A组术后3个月随访其瘢痕痛、手墩柱部痛、握力下降情况均明显低于B组,差异有统计学意义（P〈0.05）;两组感觉异常或麻木、鱼际肌萎缩、两点辨别觉情况比较,差异无统计学意义（P〉0.05）;两组术后疗效的优、良、中、差各比例比较,差异无统计学意义（P〉0.05）。结论小切口腕管松解术与传统的腕管减压方法术后疗效等同,具有术后不良反应发生率低、恢复快等特点,是治疗CTS的有效方法。Objective To investigate the effect of less incision of the carpal tunnel release with traditional carpal tunnel release. Methods 32 cases and 46 wrists of idiopathic CTS from October 2006 to October 2008 in the first affiliated hospital of Liaoning medical university were selected;16 cases and 24 wrists in group A were treated with less incision of the carpal tunnel release,16 cases and 22 wrists in group B were treated with traditional carpal tunnel release.Incision length,operating time,postoperative hospitalization time,the time required to resume normal lifestyle,two point discrimination,complications and postoperative follow-up between the two groups was compared respectively. Results The incision length,open/close incision time,actual operation time,postoperative hospitalization time,the time required to resume normal lifestyle in group A was shorter than that in group B respectively,with statistical difference （P〈0.01）.The scar pain,hand pier of pain,grip strength decline in group A was lower than that in group B respectively,with statistical difference （P〈0.05）.The differences of paresthesia or numbness,thenar muscle atrophy,two point discrimination between two groups were not statistically significant （P〉0.05）.The differences of excellent, good,medium and poor proportion between two groups were not statistically significant （P〉0.05）. Conclusion The curative effect is same between two operations.It has low incidence of adverse reactions,faster recovery after surgery.It is an effective method to cure the CTS.

关 键 词：腕管综合征 传统腕管切开松解术 小切口 

分 类 号：R658.2[医药卫生—外科学]