摘要
目的比较应用内窥镜技术治疗腕管综合征的两种不同方法,对其术后疗效进行比较,分析两种不同手术方式的优劣。介绍内窥镜下治疗腕管综合征的临床经验与疗效。方法局部麻醉,皮肤1 cm切口,应用内窥镜电视光源系统,在内窥镜下切断腕管横韧带。术后6个月各随访26例26腕,对其术后疗效进行分析评价。结果据Kelly疗效评定标准,Chow法组26腕中优18腕,良6腕,可1腕,差1腕,优良率为92.31%。Okutsu法组26腕,优16腕,良7腕,可2腕,差1腕,优良率为88.46%。各有1例发生术后并发症。术后无复发病例。结论内窥镜技术治疗腕管综合征,尽管两种手术方式不同,但术后疗效差异无显著性。相对而言,Chow法更易于掌握和安全。注意选择手术的适应证,两种方式都是安全有效的微创手术方法。
Objective: To compare Chow′method with Okutsu′method, which are the two different kind of technique of endoscopic management of carpal tunnel syndrome, and to report on the surgical experiments and clinical efficiency. To investigate which one is better and safety on endoscopic carpal tunnel release (ECTR). Methods: A 1cm skin incision was made under local anaesthesia. The procedure was conducted with Universal Subcutaneous Endoscope System and the transverse carpal ligament was released. Functional assessment had been made in every type using Kelly′s methods after operation. Follow-up was conducted in the sixth month after the operation. Results: 26 sides of 26 cases of CTS were treated with the two method. According to Kelly′s evaluation principal. The results of Chow′method: 18 cases were excellent; 6 cases were good; 1 cases was fair; 1 cases was poor. The results of Chow′method: 16 cases were excellent; 7 cases were good; 2 cases were fair; 1 cases were poor. Two case′s surgical complication had been encountered. Conclusions: This study suggests that both kinds of ECTR technique are safe and reliable procedure with a high success rate. Maybe chow′s method has more advantages than Okutsu′method , such as: easy to learn and more safely.
出处
《中国内镜杂志》
CSCD
2004年第11期28-31,共4页
China Journal of Endoscopy
