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[腕关节镜检查]

[Arthroscopy of the wrist].

作者信息

d'Ailly Philip N, Schep Niels W L, Coert J Henk H

机构信息

Maasstad Ziekenhuis, afd. Chirurgie, Rotterdam.

Contact: Philip N. d'Ailly (

出版信息

Ned Tijdschr Geneeskd. 2022 Jan 12;166:D6312.

Abstract

Arthroscopy of the wrist has gained popularity among hand and wrist surgeons for diagnosing and treating wrist pathologies. In general, it is a minimally-invasive procedure which can be performed in day care surgery. It has a higher diagnostic accuracy compared to conventional imaging modalities such as CT or MRI. Simultaneous therapeutic intervention can be performed such as ligament repair, fracture reduction, ganglion cyst removal or synovectomy of the wrist. Recent studies have shown better functional outcomes and fewer complications compared to open surgical interventions. Prospective studies are still needed to confirm effectiveness and safety of wrist arthroscopy for several indications. Nonetheless, wrist arthroscopy has shown to be an important asset in the repertoire of the hand and wrist surgeon.

摘要

腕关节镜检查在手部和腕部外科医生中越来越受欢迎,用于诊断和治疗腕部疾病。一般来说,它是一种微创手术,可在日间手术中进行。与传统的成像方式如CT或MRI相比,它具有更高的诊断准确性。可以同时进行治疗干预,如韧带修复、骨折复位、腱鞘囊肿切除或腕关节滑膜切除术。最近的研究表明,与开放手术干预相比,其功能结果更好,并发症更少。仍需要前瞻性研究来证实腕关节镜检查在多种适应症中的有效性和安全性。尽管如此,腕关节镜检查已证明是手部和腕部外科医生全部技能中的一项重要手段。

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