[1]刘满建,陈强,杨俊杰,等.微创切开减压结合显微技术治疗腕管综合征[J].实用手外科杂志,2021,35(03):0.[doi:10.3969/j.issn.1671-2722.2021.03.037]
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微创切开减压结合显微技术治疗腕管综合征
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《实用手外科杂志》[ISSN:1671-2722/CN:10-1336/R]

卷:
35
期数:
2021年03期
页码:
0
栏目:
出版日期:
2021-09-20

文章信息/Info

作者:
刘满建 陈强 杨俊杰 易红卫 梁培雄
(湘潭市第一人民医院 骨科, 湖南 湘潭 411100)
关键词:
关键词: 腕管综合征 微创 切开减压 显微技术
DOI:
10.3969/j.issn.1671-2722.2021.03.037
摘要:
摘 要: 目的 探讨采用腕管微创切开减压结合显微镜下正中神经松解术治疗腕管综合征的临床疗效。方法 2018年 8 月-2020 年 3 月收治的 35例共 41侧腕管综合征行腕管微创小切口切开减压并在显微镜下行神经外膜松解术,彻底松解腕管部分的正中神经且以曲安奈德+罗哌卡因鞘内注射封闭治疗 ,术后观察其临床疗效。结果 全部患者切口愈合良好,术后第 1天患手酸胀痛缓解、夜间麻消失。术后随访 6~12个月,按照顾玉东推荐的腕管综合征功能评定标准及GSS评分结果评价。优 30 腕,良9腕,可1 腕,差 1腕,优良率为 95.1%;术后随访评估分数较术前明显降低,差异有统计学意义 (P <0.05)。结论 腕管微创切开减压结合显微镜下正中神经松解术治疗腕管综合征是一种安全有效的手术方法,值得推广。

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更新日期/Last Update: 2021-09-20