腕管综合征两种手术方式的临床对比研究  

Clinical Comparison of Two Surgical Methods of Carpal Tunnel Syndrome

作　　者：朱祖巍[1] 胡华清[1] 郑秀霞[1] 王小勇[1] 杨旭东[1] 

机构地区：[1]福建医科大学附属宁德市医院骨二科,福建宁德352100

出　　处：《中外医疗》2016年第35期25-28,共4页China & Foreign Medical Treatment

摘　　要：目的研究对比单切口下内镜腕管松解和传统腕管开放性松解两种术式治疗腕管综合征的疗效。方法方便选择2010年12月—2015年12月该院骨二科63例腕管综合征住院患者,分为单切口内镜手术28例,对照组35例行传统手术。比较两组手术切口长度,住院时间、手术耗时及PRWE评分。结果 A组在切口长度(1.47±0.46)cm、手术耗时(33.07±4.29)min及住院天数(5.68±1.49)d上优于B组(3.62±0.86)cm,(35.49±3.68)min,(8.57±1.48)d,差异有统计学意义(t=11.665,2.266,7.282;P<0.05)。A组和B组PRWE评分在术后1个月比较,差异无统计学意义(P>0.05);术后3个月和术后6个月比较,A组PRWE评分分别为(28.50±6.55)分,(16.59±4.69)分低于B组评分(32.60±6.87)分,(23.09±6.52)分,差异有统计学意义(t=2.286,4.282;P<0.05)。结论单切口下内镜技术治疗腕管综合征,不仅能充分达到治疗效果松解正中神经,而且手术切口小、住院时间短、并发症发生率低,适宜在临床上推广应用。Objective To compare the curative effects of two kinds of surgical treatment of carpal tunnel syndrome with single-incision for the dissection of the carpal tunnel and the open-release of the carpal tunnel. Methods Convenient selection from December 2010 to December 2015, 63 patients with carpal tunnel syndrome were divided into single-incision endoscopic surgery group（n = 28） and control group（n = 35）. The length of incision, length of hospital stay, operation time and PRWE score were compared between the two groups. Results The difference was statistically significant between group A and group B（3.62 ± 0.86）cm,（35.49 ± 3.68）min,（8.57 ± 1.48）d in incision length（1.47 ± 0.46）cm, operation time（33.07 ±4.29）min and hospital stay（5.68 ± 1.49）d Significance（t = 11.665, 2.266, 7.282;P〈0.05）. There was no significant difference in PRWE scores between group A and group B（P〉0.05）. The PRWE scores of group A and group B were（P〈0.05）,the difference was not statistically significant（P〉0.05）. After 3 months and 6 months after operation, The PRWE score of group A was（28.50 ± 6.55）points,（32.60 ± 6.87）points lower than that of group B（16.59 ± 4.69）points,（23.09 ± 6.52）points,and the difference was statistically significant（t = 2.286, 4.282; P〈0.05）. Conclusion The single-incision endoscopic treatment of carpal tunnel syndrome can not only fully achieve the therapeutic effect of loosening median nerve, but also has the advantages of small operative incision, short hospital stay and low complication rate. It is suitable for clinical application.

关 键 词：腕管综合征 内镜 

分 类 号：R4[医药卫生—临床医学]