CAJ | 학술논문

目的报道7例感觉过敏型腕管综合征的诊治特点.方法收集与分析2002年3月至2005年3月间128例腕管综合征中感觉过敏型7例的病情及治疗特点.其中女性4例、男性3例.4例应用内镜治疗,3例切开治疗,经1～4年随访,平均随访时间1.5年.结果内镜治疗中2例疗效差,均在术中插入扩张导管时出现异常疼痛,另外2例基本满意.3例切开治疗中,2例疗效差,1例基本满意.3例基本满意中,2例内镜插入导管时均未出现疼痛,另1例为单纯切断腕横韧带,并在神经外膜下注射激素.结论感觉过敏型腕管综合征是一组特殊病例,保护神经外膜是治疗关键.
목적 보도7례감각과민형완관종합정적진치특점.방법 수집여분석2002년3월지2005년3월간128례완관종합정중감각과민형7례적병정급치료특점.기중녀성4례、남성3례.4례응용내경치료,3례절개치료,경1～4년수방,평균수방시간1.5년.결과 내경치료중2례료효차,균재술중삽입확장도관시출현이상동통,령외2례기본만의.3례절개치료중,2례료효차,1례기본만의.3례기본만의중,2례내경삽입도관시균미출현동통,령1례위단순절단완횡인대,병재신경외막하주사격소.결론 감각과민형완관종합정시일조특수병례,보호신경외막시치료관건.
Objective To report the treatment of 7 cases of carpal tunnel syndrome(CTS)with algesia.Methods One hundred and twenty eight cases of carpal tunnel syndrome within the period of March 2002 and March 2005 were retrospectively analyzed.There were 7 cases(4 female and 3 male)had algesia,4 cases were treated with endoscopic management of carpal tunnel release (ECTR) and 3 cases were treated with open management of carpal tunnel release(OCTR).These 7 cases were followed-up 1-4years(average 1.5 years)postoperatively.Results Two ECTR cases and 2 OCTR cases had bad therapeutic effect and the others had good effect.Both 2 bad-effect ECTR cases feel special pain when insert the catheter.Only inject Triamcinolone Acetonide-A within epineurium after completely release in the goodeffect OCTR ease.Conclusion CTS with algesia is a special type of CTS,the key to treat it is to protect epineurium.