CAJ | 학술논문

目的：观察内窥镜治疗腕管综合征的临床疗效。方法2009年至今，利用内窥镜单切口入路，通过切开腕管、松解正中神经，治疗腕管综合征18例（30侧）。术前及术后3个月进行神经电生理测试，测定正中神经掌腕段感觉及运动传导速度。结果本组患者术后随访6个月，术后3个月正中神经感觉、运动神经传导速度明显较术前加快（P<0.05），患者肢体感觉基本恢复正常，未见复发。结论内窥镜治疗腕管综合征疗效确切，术后正中神经功能恢复明显。
목적：관찰내규경치료완관종합정적림상료효。방법2009년지금，이용내규경단절구입로，통과절개완관、송해정중신경，치료완관종합정18례（30측）。술전급술후3개월진행신경전생리측시，측정정중신경장완단감각급운동전도속도。결과본조환자술후수방6개월，술후3개월정중신경감각、운동신경전도속도명현교술전가쾌（P<0.05），환자지체감각기본회복정상，미견복발。결론내규경치료완관종합정료효학절，술후정중신경공능회복명현。
Objective To explore the clinical effect of reforming endoscopic minimally invasive releasing (REMIR) for the treatment carpal tunnel syndrome. Methods Since 2009, 18 patients (30 sides) with carpal tunnel syndrome were treated with REMIR by cutting the transverse carpal ligament and releasing the median nerve completely under endoscope monitor. Preoperative and 3 months postoperative sensation and motor conduction velocity of median nerve were measured by neuroelectrophysiology. Results All the patients were followed up for 6 months. Three months postoperative sensation and motor conduction velocity of all the patients were faster than preoperative (P<0.05). The limb sensation was almost back to normal and no recurrence was observed. Conclusion The REMIR method is effective and gets functional rehabilitation of median nerve after operation.