长期血液透析所致腕管综合征患者的腕管压力
Carpal tunnel pressure in patients with carpal tunnel syndrome due to long-term hemodialysis.
作者信息
Sekiya H, Sugimoto N, Kariya Y, Hoshino Y
机构信息
Department of Orthopaedic Surgery, Jichi Medical School, 3311-1 Yakushiji, Kawachi-machi, Kawachi-gun, Tochigi, 329-0498 Japan.
出版信息
Int Orthop. 2002;26(5):274-7. doi: 10.1007/s00264-002-0366-0. Epub 2002 Aug 9.
We studied carpal tunnel pressure and outcome of endoscopic carpal tunnel release in 42 patients (53 hands) with carpal tunnel syndrome (CTS) and receiving long-term hemodialysis. We compared these results with those of 41 patients (49 hands) with idiopathic CTS. Pressure was measured peroperatively: first, before dilation of the carpal tunnel; second, after dilation but before release of the transverse carpal ligament; and third, after completion of the release. In patients receiving long-term hemodialysis, the highest pressures were 76.9, 56.0, and 7.8 mmHg respectively. In patients with idiopathic CTS, pressures were 68.8, 44.1, and 4.0 mmHg respectively. The clinical outcome was inferior in patients receiving long-term hemodialysis.
我们研究了42例（53只手）患有腕管综合征（CTS）且接受长期血液透析的患者的腕管压力及内镜下腕管松解术的结果。我们将这些结果与41例（49只手）特发性CTS患者的结果进行了比较。术中测量压力：首先，在腕管扩张前；其次，在扩张后但在横腕韧带松解前；第三，在松解完成后。在接受长期血液透析的患者中，最高压力分别为76.9、56.0和7.8 mmHg。在特发性CTS患者中，压力分别为68.8、44.1和4.0 mmHg。接受长期血液透析的患者临床结果较差。
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