自制开窗式透明管道辅助单切口手术治疗腕管综合征的临床效果  

Clinical effect of self-made open window transparent pipe assisted double incision surgery for carpal tunnel syndrome

作　　者：孙宝余 张杰 SUN Baoyu;ZHANG Jie(Department of Orthopedics,Ninghe District Hospital of Traditional Chinese Medicine,Tianjin,301500,China)

机构地区：[1]天津市宁河区中医医院骨伤科,天津301500

出　　处：《实用手外科杂志》2024年第4期460-462,共3页Journal of Practical Hand Surgery

摘　　要：目的介绍自制开窗式透明管道辅助单切口手术治疗腕管综合征临床效果。方法2021年6月-2023年7月,采用自制开窗式透明管道辅助单切口治疗腕管综合征21例,术后采用功能状态量表(BCTQ-FS)和症状严重程度量表(BCTQ-SS)评价临床效果。结果所有患者手术操作均在10 min内完成,出血量约3 mL,术中无神经、血管及肌腱损伤。21例均获6~12个月随访,BCTQ-FS评分、BCTQ-SS评分较术前均显著降低(P<0.05)。1例因神经卡压时间过长,出现大、小鱼际肌萎缩,导致术后肌肉萎缩改善不明显。末次随访临床疗效评定为优19例,良1例,可1例,优良率为95.2%。结论自制开窗式透明管道辅助单切口手术治疗腕管综合征,具有安全性高、简单易用等优点。Objective To evaluate the clinical efficacy of a novel self-fabricated windowed transparent conduit in facilitating minimally invasive single-incision surgery for carpal tunnel syndrome.Methods From June 2021 to July 2023,our department treated 21 patients suffering from carpal tunnel syndrome using this innovative technique.The functional status and severity of symptoms were assessed using the Boston Carpal Tunnel Questionnaire-Functional Status Scale(BCTQ-FS)and Symptom Severity Scale(BCTQ-SS),respectively.Results All the surgical procedures were completed expediently within 10 minutes,with a minimal blood loss of approximately 3ml,and no intraoperative damage to nerves,blood vessels,or tendons occurred.All 21 patients were followed up for a period ranging from 6 to 12 months,during which both BCTQ-FS and BCTQ-SS scores significantly decreased(P<0.05).One patient exhibited persistent thenar and hypothenar muscle atrophy due to prolonged nerve compression,which resulted in less noticeable postoperative muscle atrophy improvement.Clinical outcomes at the final follow-up were rated as excellent in 19 cases,good in 1 case,and fair in 1 case,marking an effectiveness rate of 95.2%.Conclusion The self-made windowed transparent conduit for minimally invasive single-incision surgery offers a promising approach to carpal tunnel syndrome treatment,characterized by minimal invasiveness and significant therapeutic outcomes.

关 键 词：腕管综合征 正中神经 单切口 

分 类 号：R688[医药卫生—骨科学]