中国医药导报
中國醫藥導報
중국의약도보
China Medical Herald
2015年
25期
61-63,68
,共4页
小切口法%腕管综合征%正中神经%疗效
小切口法%腕管綜閤徵%正中神經%療效
소절구법%완관종합정%정중신경%료효
Small incision%Carpal tunnel syndrome%Median nerve%Clinical effect
目的：探讨小切口治疗腕管综合征的临床效果。方法从2011年7月~2014年7月吉林省人民医院收治掌部腕管综合征的患者中选取典型患者42例(45侧)，采用掌部小切口切断腕横韧带的治疗方法，术后进行随访，使用GSS评分对术前以及术后6个月患者功能恢复情况进行评估。结果排除2例(3侧)患者术中发现腕管内囊肿，改为传统切口手术，其余40例(42侧)患者手术均获得了成功，并且在术后没有出现并发症。采用GSS评分标准对术前和术后6个月患者疼痛、麻木感、夜醒、肌力减退、手指末端神经异感及总分进行评估[(5.65±0.89)、(3.79±1.06)、(2.67±0.67)、(4.49±0.95)、(3.35±0.78)、(20.10±4.65)比(0.94±0.50)、(0.86±0.35)、(0.35±0.09)、(1.00±0.40)、(0.46±0.20)、(3.61±0.06)分]，术后随访评估分数较术前明显减低，差异有统计学意义(P<0.05)。结论小切口法治疗腕管综合征是一种效安全的手术方法，其具有手术时间相对较短、预后疗效比较好、并发症较少等优点，值得在临床应用和推广。
目的：探討小切口治療腕管綜閤徵的臨床效果。方法從2011年7月~2014年7月吉林省人民醫院收治掌部腕管綜閤徵的患者中選取典型患者42例(45側)，採用掌部小切口切斷腕橫韌帶的治療方法，術後進行隨訪，使用GSS評分對術前以及術後6箇月患者功能恢複情況進行評估。結果排除2例(3側)患者術中髮現腕管內囊腫，改為傳統切口手術，其餘40例(42側)患者手術均穫得瞭成功，併且在術後沒有齣現併髮癥。採用GSS評分標準對術前和術後6箇月患者疼痛、痳木感、夜醒、肌力減退、手指末耑神經異感及總分進行評估[(5.65±0.89)、(3.79±1.06)、(2.67±0.67)、(4.49±0.95)、(3.35±0.78)、(20.10±4.65)比(0.94±0.50)、(0.86±0.35)、(0.35±0.09)、(1.00±0.40)、(0.46±0.20)、(3.61±0.06)分]，術後隨訪評估分數較術前明顯減低，差異有統計學意義(P<0.05)。結論小切口法治療腕管綜閤徵是一種效安全的手術方法，其具有手術時間相對較短、預後療效比較好、併髮癥較少等優點，值得在臨床應用和推廣。
목적：탐토소절구치료완관종합정적림상효과。방법종2011년7월~2014년7월길림성인민의원수치장부완관종합정적환자중선취전형환자42례(45측)，채용장부소절구절단완횡인대적치료방법，술후진행수방，사용GSS평분대술전이급술후6개월환자공능회복정황진행평고。결과배제2례(3측)환자술중발현완관내낭종，개위전통절구수술，기여40례(42측)환자수술균획득료성공，병차재술후몰유출현병발증。채용GSS평분표준대술전화술후6개월환자동통、마목감、야성、기력감퇴、수지말단신경이감급총분진행평고[(5.65±0.89)、(3.79±1.06)、(2.67±0.67)、(4.49±0.95)、(3.35±0.78)、(20.10±4.65)비(0.94±0.50)、(0.86±0.35)、(0.35±0.09)、(1.00±0.40)、(0.46±0.20)、(3.61±0.06)분]，술후수방평고분수교술전명현감저，차이유통계학의의(P<0.05)。결론소절구법치료완관종합정시일충효안전적수술방법，기구유수술시간상대교단、예후료효비교호、병발증교소등우점，치득재림상응용화추엄。
Objective To discuss the clinical effect of small incision in the treatment of carpal tunnel syndrome. Methods From July 2011 to July 2014 in Jilin Province People' Hospital 42 patients (45 sides) with metacarpus carpal tunnel syndrome were selected. All patients were given small incision of wrist transverse ligament surgery and followed up for 6 months. Functional recovery was evaluated by GSS standard. Results 2 cases (3 sides) were found cyst in wrist, given traditional incision surgery instead. Surgery of the other 40 cases (42 sides) were successful, and no complication happened. The pain, feeling of numbness, night waking, muscle loss, the end of finger abnormal feeling, and total scores in GSS scores after surgery were lower than those before surgery [(5.65±0.89), (3.79±1.06), (2.67±0.67), (4.49±0.95), (3.35±0.78), (20.10±4.65) v s (0.94±0.50), (0.86±0.35), (0.35±0.09), (1.00±0.40), (0.46±0.20), (3.61±0.06) scores], the differences were statistically significant (P< 0.05). Conclusion Small incision in the treatment of carpal tunnel syn-drome is an effective safe surgical method, it has advantages of relatively short operating time, better curative effect and prognosis, less complications, and it is worth in the clinical application and promotion.
