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[有限的腕管内镜松解术。经典开放性松解术的替代方法?]

[Limited portal carpal tunnel release. An alternative to classic open release?].

作者信息

Jaminet P, Werdin F, Jabsen J S, Kraus A, Sinis N, Schaller H E

机构信息

Klinik für Hand-, Plastische, Rekonstruktive und Verbrennungschirurgie, Berufsgenossenschaftliche Unfallklinik, Eberhard-Karl-Universität Tübingen, Schnarrenbergstraße 95, 72076, Tübingen.

出版信息

Orthopade. 2010 Nov;39(11):1029-35. doi: 10.1007/s00132-010-1653-x.

Abstract

The aim of this study was to determine the significance of limited portal carpal tunnel release compared to the classic open approach. We present a retrospective comparative clinical trial including 161 patients (105 open release and 56 limited portal release). Special interest was directed towards postoperative functionality, disorders and quality of life. Significant advantages could be demonstrated for the limited portal carpal tunnel release: rapid ability to return to work as well as to routine tasks of daily living and high patient satisfaction. In the hands of trained surgeons, limited portal carpal tunnel release represents a rewarding alternative to the classic open release.

摘要

本研究的目的是确定与传统开放式手术相比,有限切口腕管松解术的重要性。我们进行了一项回顾性对比临床试验,纳入了161例患者(105例行开放式松解术,56例行有限切口松解术)。特别关注术后功能、并发症及生活质量。有限切口腕管松解术具有显著优势:能迅速恢复工作及日常生活中的常规活动,且患者满意度高。对于训练有素的外科医生而言,有限切口腕管松解术是传统开放式松解术的一个值得采用的替代方法。

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