Apard T, Candelier G
Center of Hand Surgery, private hospital Saint Martin, 18, rue des Roquemonts, 14050 Caen, France.
Center of Hand Surgery, private hospital Saint Martin, 18, rue des Roquemonts, 14050 Caen, France.
Hand Surg Rehabil. 2017 Oct;36(5):333-337. doi: 10.1016/j.hansur.2017.05.005. Epub 2017 Aug 16.
Ultrasound-guided surgery is a new trend stemming from the introduction of high-frequency linear probes and better quality screens. Surgical treatment of carpal tunnel syndrome is increasingly being performed under ultrasound guidance. Knowledge of musculoskeletal ultrasonography is obviously mandatory. Several types of cutting instruments (miniature knife, Gigli saw or hook) and surgical approaches (wrist or palm) have been described. Ultrasonography allows the wide-awake and local anesthesia with no tourniquet (WALANT) technique to be used in the context of ambulatory patient care. The practitioner must be aware of all the possible intraoperative and postoperative complications, and be able to treat them. The aim of this review is to analyze the literature on the feasibility and outcomes of surgical ultrasound-guided carpal tunnel release, and to compare it to the other validated techniques.
超声引导手术是随着高频线性探头和更高质量显示屏的引入而出现的一种新趋势。腕管综合征的手术治疗越来越多地在超声引导下进行。显然，掌握肌肉骨骼超声检查知识是必不可少的。已经描述了几种类型的切割器械（微型刀、吉利锯或钩）和手术入路（腕部或手掌）。超声检查使得在门诊患者护理中能够采用无止血带的清醒局部麻醉技术（WALANT）。从业者必须了解所有可能的术中及术后并发症，并能够对其进行处理。本综述的目的是分析关于超声引导下腕管松解术的可行性和结果的文献，并将其与其他经过验证的技术进行比较。
