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内镜下腕管松解术:146例报告。

Endoscopic carpal tunnel release: report of 146 cases.

作者信息

Brief R, Brief L P

机构信息

Department of Rehabilitation Medicine, Nyack Hospital, NY, USA.

出版信息

Mt Sinai J Med. 2000 Sep;67(4):274-7.

Abstract

OBJECTIVE

The purpose of this study is to describe one type of surgical treatment of carpal tunnel syndrome, namely endoscopic carpal tunnel release.

MATERIALS AND METHODS

One hundred forty-six (146) cases of median nerve compression underwent the same-day procedure.

RESULTS

Eighty-six percent (86%) were favorable, and 14% unfavorable. There was no damage caused to nerves, vascular structures, or tendons.

CONCLUSIONS

Although overall long-term results of endoscopic carpal tunnel release appear similar to those of open release, patients who undergo endoscopic carpal tunnel release demonstrate a quicker functional recovery, less postoperative pain, and less scarring than open carpal tunnel release patients.

摘要

目的

本研究的目的是描述腕管综合征的一种手术治疗方式,即内镜下腕管松解术。

材料与方法

146例正中神经受压患者接受了当日手术。

结果

86%的患者预后良好,14%的患者预后不佳。未对神经、血管结构或肌腱造成损伤。

结论

尽管内镜下腕管松解术的总体长期效果似乎与开放松解术相似,但与接受开放腕管松解术的患者相比,接受内镜下腕管松解术的患者功能恢复更快,术后疼痛更少,疤痕也更少。

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