del Piñal Francisco
Unit of Hand-Wrist and Plastic Surgery, Hospital Mutua Montañesa, Instituto de Cirugía Plástica y de la Mano, Calderón de la Barca 16-entlo, E- 39002-Santander, Spain.
Hand Clin. 2011 Aug;27(3):335-45. doi: 10.1016/j.hcl.2011.05.011. Epub 2011 Jul 2.
Wrist arthroscopy can be performed without infusing fluid, as simple traction suffices to maintain the working space. The lack of tissue infiltration by fluid keeps soft tissues in pristine condition if open surgery is needed after the arthroscopic exploration. The dry technique makes fluid distension irrelevant, thus opening new possibilities by combining arthroscopy with moderate-sized incisions. Although any modification of a technique with which one is familiar can be regarded with major reticence, the advantages of the dry technique merit its use. Accomplished wrist arthroscopists will have minimal problems swapping from the wet to the dry and vice versa.
腕关节镜检查可以在不注入液体的情况下进行,因为单纯的牵引就足以维持操作空间。如果在关节镜探查后需要进行开放手术,液体不浸润组织可使软组织保持原始状态。干式技术使液体扩张无关紧要,从而通过将关节镜检查与中等大小的切口相结合开辟了新的可能性。尽管对熟悉的技术进行任何修改都可能会遭到很大的抵触,但干式技术的优点值得采用。熟练的腕关节镜手术医生在从湿式转换为干式技术,反之亦然时,遇到的问题会很少。