腕管综合征患者腕管内容物体积与腕管压力的关系

Relationship of carpal canal contents volume to carpal canal pressure in carpal tunnel syndrome patients.

作者信息

Yoshida A, Okutsu I

机构信息

Department of Orthopaedic Surgery, Japanese Red Cross Medical Center, Shibuya-Ku, Tokyo, Japan.

出版信息

J Hand Surg Br. 2004 Jun;29(3):277-80. doi: 10.1016/j.jhsb.2004.02.001.

DOI:10.1016/j.jhsb.2004.02.001

PMID:15142700

Abstract

Forty patients long-term haemodialysis with a second recurrence of carpal tunnel syndrome and concomitant loss of flexor tendon function due to flexor adhesions were treated by excision of the flexor digitorum superficialis tendons. During the procedure the carpal canal pressure was measured using a continuous infusion technique. The preoperative mean carpal canal pressure was 81 (SD, 53)mmHg. After removal of all the flexor digitorum superficialis tendons, the carpal canal pressure decreased to 10 (SD, 8)mmHg. The clinical symptoms of carpal tunnel syndrome were relieved and hand strength and finger motion were improved in all patients.

摘要

40例长期接受血液透析且腕管综合征复发并因屈肌腱粘连导致屈肌腱功能丧失的患者，接受了指浅屈肌腱切除术治疗。手术过程中，采用连续输注技术测量腕管压力。术前平均腕管压力为81（标准差53）mmHg。切除所有指浅屈肌腱后，腕管压力降至10（标准差8）mmHg。所有患者腕管综合征的临床症状均得到缓解，手部力量和手指活动能力均有所改善。