我们的手术经验：开放式与内镜下腕管手术
Our Surgical Experience: Open Versus Endoscopic Carpal Tunnel Surgery.
作者信息
Gould Daniel, Kulber David, Kuschner Stuart, Dellamaggiorra Ryan, Cohen Myles
机构信息
Division of Plastic and Reconstructive Surgery, University of Southern California, Los Angeles, CA.
Division of Plastic and Reconstructive Surgery, University of Southern California, Los Angeles, CA; Department of Orthopaedic Surgery, Cedars Sinai Medical Center, Los Angeles, CA; Division of Plastic Surgery, Cedars Sinai Medical Center, Los Angeles, CA.
出版信息
J Hand Surg Am. 2018 Sep;43(9):853-861. doi: 10.1016/j.jhsa.2018.03.029. Epub 2018 May 16.
Carpal tunnel release is one of the most common hand operations in the United States and every year approximately 500,000 patients undergo surgical release. In this article, we examine the argument for endoscopic carpal tunnel release versus open carpal tunnel release, as well as some of the literature on anatomical variants in the median nerve at the wrist. We further describe the experience of several surgeons in a large academic practice. The goals of this article are to describe key anatomic findings and to present several cases that have persuaded us to favor offering patients open carpal tunnel release.
腕管松解术是美国最常见的手部手术之一，每年约有50万患者接受手术松解。在本文中，我们探讨了内镜下腕管松解术与开放性腕管松解术的相关论据，以及一些关于腕部正中神经解剖变异的文献。我们还进一步描述了几位外科医生在大型学术实践中的经验。本文的目的是描述关键的解剖学发现，并呈现几个使我们倾向于为患者提供开放性腕管松解术的病例。
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