Sun Jianjun, Zou Xiaodi, Fu Qinyun, Wu Jianhua, Yuan Shuaishuai, Alhaskawi Ahmad, Dong Yanzhao, Zhou Haiying, Abdalbary Sahar Ahmed, Lu Hui
Department of Anesthesiology, Pujiang County Hospital of Traditional Chinese Medicine, Jinhua, China.
Second Affiliated Hospital, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China.
Front Neurol. 2023 Nov 9;14:1291702. doi: 10.3389/fneur.2023.1291702. eCollection 2023.
Carpal tunnel syndrome (CTS) is a common peripheral neuropathy of the hand, mainly manifesting as sensory disturbances, motor dysfunctions, and pain in the fingers and hand. The pathogenesis of the disease is associated with fibrosis of the transverse carpal ligament in the carpal tunnel, which compresses median nerve. In our case, we demonstrate an ultrasound-guided needle knife technique to treat CTS. We guided the patient to a supine position on the examination table. The skin of the wrist area was sterilized for the procedure. After the skin was dry, we positioned sterile drapes, located the median nerve and compression, and marked the compression point. Local anesthesia was administered. An ultrasound-guided needle knife was inserted. The needle knife was advanced under ultrasound guidance. The carpal ligament was incised. A gradual release of pressure on the median nerve was observed on the ultrasound monitor. After treatment, the patient's finger sensation and motor function can significantly improve, and pain symptoms are markedly reduced, this case demonstrates that small needle-knife treatment can serve as a safe and effective minimally invasive therapeutic method.
腕管综合征（CTS）是一种常见的手部周围神经病变，主要表现为感觉障碍、运动功能障碍以及手指和手部疼痛。该疾病的发病机制与腕管内腕横韧带纤维化有关，后者压迫正中神经。在我们的病例中，我们展示了一种超声引导针刀技术来治疗腕管综合征。我们引导患者在检查台上仰卧。对腕部区域皮肤进行手术消毒。皮肤干燥后，我们放置无菌手术巾，定位正中神经和压迫部位，并标记压迫点。进行局部麻醉。插入超声引导针刀。在超声引导下推进针刀。切开腕横韧带。在超声监测器上观察到正中神经压力逐渐释放。治疗后，患者的手指感觉和运动功能可显著改善，疼痛症状明显减轻，该病例表明小针刀治疗可作为一种安全有效的微创治疗方法。
