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超声引导下腕管松解术:逆行技术。

Ultrasound guided Carpal tunnel release: The retrograde technique.

作者信息

Apard Thomas, Descamps Jules, Martinel Vincent

机构信息

Ultrasound Guided Hand Surgery Center - Clinique Les Franciscaines of Versailles, 2 Rue de Tocqueville, 78000 Versailles, France.

Department of Orthopedics and Trauma Surgery, Lariboisière Hospital, 2 Rue Ambroise Pare 75010 Paris, France.

出版信息

Hand Surg Rehabil. 2025 May;44S:102132. doi: 10.1016/j.hansur.2025.102132. Epub 2025 Mar 25.

DOI:10.1016/j.hansur.2025.102132
PMID:40147765
Abstract

Ultrasound-guided surgery is a new trend resulting from the introduction of high-frequency linear probes and higher-quality screens. Surgical treatment of carpal tunnel syndrome is increasingly being performed under ultrasound guidance. Knowledge of musculoskeletal ultrasound is, of course, essential. Several types of cutting instruments (miniature knife, Gigli saw or hook) and surgical approaches (wrist or palm) have been described. Ultrasonography allows the use of the wide awake and local anesthesia with no tourniquet (WALANT) technique in the outpatient setting. The purpose of this article is to report our experience with retrograde percutaneous ultrasound-guided techniques.

摘要

超声引导手术是引入高频线性探头和更高质量显示屏后出现的一种新趋势。腕管综合征的手术治疗越来越多地在超声引导下进行。当然,掌握肌肉骨骼超声知识至关重要。已经描述了几种类型的切割器械(微型刀、Gigli锯或钩)和手术入路(腕部或手掌)。超声检查允许在门诊环境中使用无止血带的清醒局部麻醉技术(WALANT)。本文的目的是报告我们在逆行经皮超声引导技术方面的经验。

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