Rajeswaran Gajan, Healy Jeremiah C, Lee Justin C
Department of Radiology, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.
Fortius Clinic, London, UK.
Semin Musculoskelet Radiol. 2016 Nov;20(5):432-440. doi: 10.1055/s-0036-1594283. Epub 2016 Dec 21.
Trigger digit and carpal tunnel syndrome are both conditions traditionally treated with open surgery but are potentially amenable to curative treatment using percutaneous techniques. The advantages of minimally invasive techniques are lower risk of wound breakdown and infection, quicker healing, reduced postprocedural pain, reduced complications, and a quicker return to normal activity. The advent of high-resolution ultrasound has allowed percutaneous release procedures for these conditions to be developed and performed with a potential for a reduced risk of complications and an increased likelihood of success. This article reviews the literature as well as our institutional experience in performing ultrasound-guided percutaneous release for trigger digit and carpal tunnel syndrome.
扳机指和腕管综合征这两种病症传统上都通过开放手术治疗,但使用经皮技术可能适合进行根治性治疗。微创技术的优点包括伤口裂开和感染风险较低、愈合更快、术后疼痛减轻、并发症减少以及恢复正常活动更快。高分辨率超声的出现使得针对这些病症的经皮松解手术得以开发和实施,有可能降低并发症风险并提高成功几率。本文回顾了相关文献以及我们机构在进行超声引导下扳机指和腕管综合征经皮松解方面的经验。