[1]史其林　 孙贵新　 杨素敏①　 王金武　 顾玉东.微创内镜下治疗腕管综合征——附69例报告[J].中国微创外科杂志,2001,01(6):331-333.
　Shi Qilin,Sun Guixin,Yang Sumin,et al.Minimal invasive endoscopic management of carpal tunnel syndrome (CTS) with a report of 69 case.[J].Chinese Journal of Minimally Invasive Surgery,2001,01(6):331-333.
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微创内镜下治疗腕管综合征——附69例报告()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2001年6期
页码:
331-333
栏目:
出版日期:
2001-06-30

文章信息/Info

Title:
Minimal invasive endoscopic management of carpal tunnel syndrome (CTS) with a report of 69 case.
作者:
史其林　 孙贵新　 杨素敏①　 王金武　 顾玉东
上海复旦大学附属华山医院手外科,上海,200040
Author(s):
Shi Qilin;  Sun Guixin;  Yang Sumin;  et al.
Department ofHand Surgery, HuashanHospital, Fudan University, Shanghai200040, China
关键词:
微创伤; 内窥镜下治疗腕管综合征; 腕管综合征; 内窥镜; 正中神经
Keywords:
Minimal invasion　　ECTR(endoscopic carpal tunnel release)　　Carpal tunnel syndrome　　Endoscope　　Median nerve
分类号:
R658
文献标志码:
A
摘要:
目的探讨应用微创内镜下Okutsu技术治疗腕管综合征(ECTR).解除其对正中神经压迫的手术技巧及疗效. 方法局部麻醉,不使用驱血带,皮肤1cm切口,应用USE SYSTEM (Universal Subcutaneous Endoscopic System)电视光源录像系统,在内镜下切断腕管横韧带,据Kelly标准评定术后疗效.术后1、3、12月进行随访. 结果临床应用126例149腕,手术时间平均10分钟,出血少,术后随访69例78腕,优54例;良19例;一般3例;差2例,其中1例发生术后正中神经粘连,行2次手术. 结论与常规手术相比,皮肤切口小,组织创伤轻,手术时间短,术后不需石膏外固定,不残留手术瘢痕.在微创伤条件下,能与常规手术取得相同的疗效.
Abstract:
Objective　To introduce a newtechnique———Carpal tunnel release by Okutsu’s technique　Methods　A1cm skin inci- sion was made under local anaesthesia without tourniquet. The procedure was performed by system (Universal Subcutaneous Endoscope Sys- tem). Postoperative functional assessmentwas done by Kelly’s standards. Follow-upwas conducted in the first, third and twelve month after the operation.　Results　One hundred and forty-nine sides of 126 cases of CTSwere treatedwiththismethod. And seventy eight sides of 69 cases of CTSwere followed up. 54 caseswere excellent; 19 cases good; 3 cases fair; 2 cases poor. The average time of the operationwas ten minutes. There was less blood lost in the procedure. Complication occurred in one case.　Conclusions　As compared with open procedure, the method has advantage of minimal incision,less tissue damage, shorter operation time, less skin scar and no postoperatioven plastic splint. The therapeutic results was as efficient as routine procedure.

参考文献/References:

［1］奥津一郎, Setsuo Ninomiya, 夏山之伸,等:Universal Endoscope的开发与内窥镜下手术.日本整形外科学会杂志,1987,61:491-498.
［2］Kelly CP, Pulisteti,D,& Jamieson A M,Early experience with endoscopic carpal tunnel release. J Hand Surg,1994,19B:18-21.
［3］Okutsu I, Setsuo Ninomiya,Takatori Y, et al. Endoscopic management of carpal tunnel syndnome.Arthroscopy.1989,5:11-18.
［4］Brown R A, Gelberman RH, Seilei JG, et al, Carpal tunnelrelease. J. Bone and Joint Surg,1993,75A: 1265-1275.
［5］Okatsu,I. Results of endoscopic management of carpal tennel syndrome. Orthop Review,1993,22: 81-87.

备注/Memo

备注/Memo:
基金项目：上海市医学领先学科基金(95-Ⅲ-1),美国中华医学基金(MB95-619)资助项目①（河南新乡医学院一附院骨科,453100）　
更新日期/Last Update: 2014-09-26