CAJ | 학술논문

目的：探讨内镜下腕管松解术和双小切口腕管松解术治疗腕管综合征的临床疗效和安全性差异。方法：将70例腕管综合征患者随机分为内镜下腕管松解术组(A组，35例)和双小切口腕管松解术组(B组，35例)，随访24个月，采用Kelly分级评定法评价比较两种手术的术后临床疗效和安全性差异。结果：A组优良率为91.4%，B组优良率为88.6%，两组的优良率比较差异无统计学意义(x2=0.328，P＞0.05)；A组的住院时间及术后恢复工作时间显著优于B组，差异有统计学意义(t=3.859，t=2.293；P＜0.05)。结论：双小切口腕管松解术及内镜下腕管松解术治疗腕管综合征均为有效的手术治疗方法，但内镜下腕管松解术的住院时间短、术后恢复更快。
목적：탐토내경하완관송해술화쌍소절구완관송해술치료완관종합정적림상료효화안전성차이。방법：장70례완관종합정환자수궤분위내경하완관송해술조(A조，35례)화쌍소절구완관송해술조(B조，35례)，수방24개월，채용Kelly분급평정법평개비교량충수술적술후림상료효화안전성차이。결과：A조우량솔위91.4%，B조우량솔위88.6%，량조적우량솔비교차이무통계학의의(x2=0.328，P＞0.05)；A조적주원시간급술후회복공작시간현저우우B조，차이유통계학의의(t=3.859，t=2.293；P＜0.05)。결론：쌍소절구완관송해술급내경하완관송해술치료완관종합정균위유효적수술치료방법，단내경하완관송해술적주원시간단、술후회복경쾌。
Objective:To investigate the differences of clinical efficacy and safty for carpal tunnel syndrome with two different surgical methods. Methods: Seventy patients with carpal tunnel syndrome were randomly divided into two groups: endoscopic carpal tunnel release (A group, 35 patients) and double incision carpal tunnel release (B group, 35 patients), during the course of follow-up, the clinical efficacy and complications were analyzed and evaluated. Result: The excellent rate of A group and B group were 91.4%and 88.6%respectively, there was no significant difference between two groups(x2=0.328, P>0.05), but hospital stay and recovering time of A group were shorter than Group B (t=0.328, t=0.328; P<0.05). Conclusion: The endoscopic carpal tunnel release and double incision carpal tunnel release are both effective and safe for carpal tunnel syndrome, but endoscopic carpal tunnel release is superior with double incision carpal tunnel release with shorter hospital stay and recovering time.