腕关节镜下单通道腕管松解术治疗腕管综合征疗效分析

熊波涵; 秦艺华; 宁梓文; 王旭; 施政良; 卢晓君; 张瑶璋; 王坤

doi:10.12259/j.issn.2095-610X.S20221019

腕关节镜下单通道腕管松解术治疗腕管综合征疗效分析

doi: 10.12259/j.issn.2095-610X.S20221019

昆明医科大学第一附属医院运动医学科，云南昆明　650031

基金项目: 国家自然科学基金资助项目（81960409，81760403）；云南省骨关节疾病临床医学中心项目（ZX2019-03-04）；云南省卫生健康委员会医学后备人才培养计划（H-2019071）；云南省科技厅-昆明医科大学应用基础研究联合专项青年博士项目 2019FE001（-137）]；

详细信息

作者简介:
熊波涵（1998～）男，四川达州人，在读硕士研究生，主要从事运动医学及骨关节外科工作

通讯作者:
王坤，E-mail：349998438@qq.com

中图分类号: R686.1
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出版历程
- 收稿日期: 2022-07-16
- 网络出版日期: 2022-10-09
- 刊出日期: 2022-10-31

Effect Analysis of Single Channel Carpal Tunnel Release under Carpal Arthroscopy in the Treatment of Carpal Tunnel Syndrome

Dept. of Sports Medicine，First Affiliated Hospital of Kunming Medical University， Kunming Yunnan 650031，China

摘要

摘要: 目的回顾分析腕关节镜下单通道腕管松解术治疗腕管综合征（CTS）的资料，探讨该术式的临床疗效。方法收集2020年12月至2021年12月之间昆明医科大学第一附属医院运动医学科收治的腕管综合征患者47例作为研究对象。所有患者均采用腕关节镜下单通道腕管松解术治疗腕管综合征，然后对所有患者进行至少6个月的随访，并运用改良波士顿腕管综合征评分量表（SSS评分和FSS评分），对患者术前与术后症状及功能恢复情况进行对比研究。结果经过随访研究，47例患者手麻症状及手功能较术前明显改善，术后手腕部疼痛等并发症发生率较低。治疗前SSS评分为（37.23±2.42），治疗后为（12.47±0.95），经比较差异有统计学意义（P < 0.05）；治疗前FSS评分（10.00±1.12），治疗后为（30.76±2.64），经比较差异有统计学意义（P < 0.05）。结论腕关节镜下单通道腕管松解术治疗腕管综合征可以取得可靠的临床疗效，能够明显的缓解患者手麻等症状及提高手功能，术后疼痛等并发症较低，值得临床推广。
- 腕管综合征 /
- 腕管松解术 /
- 单通道 /
- 临床疗效
Abstract: Objective To review the data of carpal tunnel release surgery in the treatment of carpal tunnel syndrome （CTS） with carpal arthroscopy, and to explore the clinical effect of this operation. Methods 47 patients with carpal tunnel syndrome admitted in our department between December 2020 and December 2021 as the object in this study. All patients were treated with carpal tunnel syndrome by single-channel carpal tunnel release surgery under carpal arthroscopy, and all patients were followed up at least for 6 months. The recovery of symptoms and function before and after surgery was compared using the Modified Boston Carpal Tunnel Syndrome Score Scale （SSS score and FSS score）. Results After follow-up investigation, the symptoms of hand anesthesia and function in 47 patients were significantly improved compared with those before surgery, and the incidence of postoperative wrist pain was small. SSS score was （47.53±2.2） before and （82.13±9.42） after surgery, and the difference was statistically significant （P < 0.05）. FSS score was （10.00±1.12） before and （30.76±2.64） after surgery, and the difference was statistically significant （P < 0.05） . Conclusion Carpal arthroscopy single channel carpal tunnel release in the treatment of carpal tunnel syndrome can achieve reliable clinical efficacy, can significantly relieve patients with hand anesthesia and other symptoms, can reduce complication of postoperative pain and improve hand function, is worth popularizing in clinical use.
- Carpal tunnel syndrome /
- Carpal tunnel release /
- Single channel /
- Clinical curative effect

HTML全文

图 1 手术中视野情况

　　A：术前标记；B：术中缝合后伤口情况；C：腕关节镜下观察腕横韧带；D：腕关节镜监视下剪开腕横韧带近端（屈肌支持带）；E：腕关节镜监视下剪断腕横韧带远端，彻底松解腕横韧带。

Figure 1. Intraoperative visual field

下载: 全尺寸图片幻灯片

表 1 手术治疗前、后SSS量表评分与FSS量表评分对比（$\bar x \pm s $，分）

Table 1. Comparison of SSS score and FSS score before and after surgical treatment （$\bar x \pm s $，points）

组别	SSS量表评分	FSS量表评分
术前	37.23 ± 2.42	10.00 ± 1.12
术后	12.47 ± 0.95	30.76 ± 2.64
F	4275.88	2463.65
P	< 0.001	< 0.001

下载: 导出CSV

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