Chen L, Liu H Q, Yang F, Liu Y, Zhang Z X, Liu Z G, Li R J
Department of Hand Surgery, The First Hospital of Jilin University, Jilin, China
Department of Anesthesiology, The First Hospital of Jilin University, Jilin, China
J Biol Regul Homeost Agents. 2017 Jul-Sep;31(3):673-678.
Carpal tunnel syndrome (CTS) is a medical condition due to compression of the median nerve as it travels through the wrist at the carpal tunnel. Few studies have been carried out to examine the effectiveness of mini-open technique for carpal tunnel release using minor wrist skin crease incision in patients with mild CTS. Therefore, the present study was designed to improve the neurophysiological parameters for the diagnosis of mild CTS, and to examine the effectiveness of small incision surgery for the clinical treatment of mild CTS. To this end, we applied the electrophysiological diagnosis of difference between median and ulnar palmar latencies (PMPU) and the difference of median and ulnar latencies from D4 stimulation (D4MD4U) in 80 patients with mild CTS, whom were diagnosed by hand surgeon at the First Hospital of Jilin University. Those patients showed normal in median nerve electrophysiological examination, and received minor wrist skin crease incision surgery. All patients were followed up and received electromyography (EMG) examination. We showed that D4MD4U and PMPU methods are sensitive diagnosis methods for mild CTS, and mini-open wrist crease incision is beneficial for the treatment of mild CTS in clinical settings.
腕管综合征（CTS）是一种由于正中神经在腕管内穿过腕部时受到压迫而导致的病症。针对轻度腕管综合征患者，采用腕部微小皮肤褶皱切口的小切口技术进行腕管松解术的有效性，目前开展的研究较少。因此，本研究旨在改善轻度腕管综合征诊断的神经生理学参数，并检验小切口手术对轻度腕管综合征临床治疗的有效性。为此，我们对80例轻度腕管综合征患者应用了正中神经与尺神经掌侧潜伏期差异（PMPU）的电生理诊断以及D4刺激下正中神经与尺神经潜伏期差异（D4MD4U），这些患者由吉林大学第一医院的手外科医生诊断。这些患者正中神经电生理检查显示正常，并接受了腕部微小皮肤褶皱切口手术。所有患者均接受随访并进行了肌电图（EMG）检查。我们发现，D4MD4U和PMPU方法是轻度腕管综合征的敏感诊断方法，小切口腕部褶皱切口在临床环境中有利于轻度腕管综合征的治疗。
