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使用弯针在严重腕管综合征中进行超声引导下腕横韧带部分松解术

Ultrasound-Guided Partial Release of Transverse Carpal Ligament in Severe Carpal Tunnel Syndrome Using a Curved Needle.

作者信息

Kumar Nishith, Singh Upinderjeet, Singh Dharmendra Kumar, Saifi Alfa Shamim

机构信息

Department of Radiodiagnosis and Interventional Radiology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.

出版信息

Indian J Radiol Imaging. 2024 Dec 11;35(3):490-493. doi: 10.1055/s-0044-1800806. eCollection 2025 Jul.

DOI:10.1055/s-0044-1800806
PMID:40529967
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12169917/
Abstract

Ultrasound (US) is an excellent tool for diagnosis and management of carpal tunnel syndrome (CTS). Severe, recalcitrant CTS is an indication for complete release of the transverse carpal ligament (TCL). However, complete TCL release may be associated with postprocedural pillar pain. US-guided partial division of the TCL using a curved needle can be a safe and effective technique for reducing the tensile compression onto the median nerve while mitigating the occurrence of pillar pain.

摘要

超声（US）是诊断和管理腕管综合征（CTS）的极佳工具。严重、难治性CTS是完全松解腕横韧带（TCL）的指征。然而，完全松解TCL可能与术后柱状疼痛相关。使用弯针在超声引导下部分切断TCL，对于减轻正中神经的拉伸压迫并减少柱状疼痛的发生可能是一种安全有效的技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad5f/12169917/86edf25b124e/10-1055-s-0044-1800806-i2494073-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad5f/12169917/984a5f4165ca/10-1055-s-0044-1800806-i2494073-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad5f/12169917/d892695f0d9a/10-1055-s-0044-1800806-i2494073-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad5f/12169917/86edf25b124e/10-1055-s-0044-1800806-i2494073-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad5f/12169917/984a5f4165ca/10-1055-s-0044-1800806-i2494073-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad5f/12169917/d892695f0d9a/10-1055-s-0044-1800806-i2494073-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad5f/12169917/86edf25b124e/10-1055-s-0044-1800806-i2494073-3.jpg

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本文引用的文献

1
Pillar Pain After Minimally Invasive and Standard Open Carpal Tunnel Release: A Systematic Review and Meta-analysis.微创与标准开放性腕管松解术后的柱状疼痛：一项系统评价与荟萃分析
J Hand Surg Glob Online. 2024 Jan 4;6(2):212-221. doi: 10.1016/j.jhsg.2023.12.003. eCollection 2024 Mar.
2
Ultrasonographic Assessment of the Safe Zone for Carpal Tunnel Intervention: A Comparison Between Healthy Individuals and Patients With Carpal Tunnel Syndrome.腕管干预安全区的超声评估：健康个体与腕管综合征患者的比较
Ann Rehabil Med. 2022 Dec;46(6):284-291. doi: 10.5535/arm.22123. Epub 2022 Dec 31.
3
Effect of Ultrasound-Guided Partial Release of the Transverse Carpal Ligament with a Needle in Patients with Refractory Carpal Tunnel Syndrome.
超声引导下经皮腕横韧带松解术治疗难治性腕管综合征。
Pain Physician. 2022 Jan;25(1):E141-E145.
4
Minimally Invasive Ultrasound-Guided Carpal Tunnel Release Improves Long-Term Clinical Outcomes in Carpal Tunnel Syndrome.微创超声引导腕管松解术改善腕管综合征的长期临床疗效。
AJR Am J Roentgenol. 2021 Aug;217(2):460-468. doi: 10.2214/AJR.20.24383. Epub 2020 Sep 2.
5
Ultra-Minimally Invasive Ultrasound-Guided Carpal Tunnel Release: A Randomized Clinical Trial.超微创超声引导下腕管松解术：一项随机临床试验。
J Ultrasound Med. 2016 Jun;35(6):1149-57. doi: 10.7863/ultra.15.07001. Epub 2016 Apr 22.