微创腕管松解术
Minimally invasive carpal tunnel release.
作者信息
Cellocco Paolo, Rossi Costantino, El Boustany Stefano, Di Tanna Gian Luca, Costanzo Giuseppe
机构信息
Department of Orthopedics, University of Roma La Sapienza - Polo Pontino, Istituto Chirurgico Ortopedico Traumatologico, via Franco Faggiana 1668, 04100 Latina, Italy.
出版信息
Orthop Clin North Am. 2009 Oct;40(4):441-8, vii. doi: 10.1016/j.ocl.2009.06.002.
We prospectively compared the safety and effectiveness of mini-incision (group A) and a limited open technique (group B) for carpal tunnel release (CTR) in 185 consecutive patients operated between November 1999 and May 2001, with a 5-year minimum follow-up. Patients in Group A had a minimally invasive approach (<2 cm incision), performed using the KnifeLight (Stryker, Kalamazoo, Michigan) instrument. Patients in Group B had a limited longitudinal incision (3-4 cm). Patient status was evaluated with an Italian modified version of the Boston Carpal Tunnel questionnaire, administered preoperatively and at 19, 30, and 60 postoperative months. Mini-incision CTR showed advantages over standard technique in early recovery, pillar pain, and recurrence rate. The recovery period after mini-incision is shorter than after standard procedure.
我们前瞻性地比较了1999年11月至2001年5月期间连续接受手术的185例患者采用小切口（A组）和有限切开技术（B组）进行腕管松解术（CTR）的安全性和有效性，并进行了至少5年的随访。A组患者采用微创方法（切口<2 cm），使用KnifeLight（史赛克公司，密歇根州卡拉马祖）器械进行手术。B组患者采用有限的纵向切口（3 - 4 cm）。采用意大利版改良波士顿腕管问卷对患者术前、术后19个月、30个月和60个月的状态进行评估。小切口CTR在早期恢复、柱部疼痛和复发率方面优于标准技术。小切口术后的恢复期比标准手术短。
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