摘要
目的对比关节镜技术手术和开放手术治疗腕管综合征的治疗效果。方法本研究为病例对照研究,选取2018年3月至2020年9月北部战区总医院烧伤整形科收治的25例(27侧)例腕管综合征患者,男13例(15侧),女12例(12侧),年龄(48.30±12.65)岁,年龄范围为40~65岁。根据随机数表法将患者随机分为关节镜组与开放手术组。比较两组患者的切口长度、手术时间、住院时间、恢复工作时间,术后6个月对患者进行视觉模拟评分法(VAS)评估及波士顿腕管综合征量表(BCTQ)评定,术后1、3、6个月对患者进行Kelly分级评估,统计并发症发生情况。结果关节镜组手术切口长度[(1.04±0.12)cm]、手术时间[(11.45±0.92)min]、住院时间[(2.82±0.57)d]和恢复工作时间[(15.73±1.40)d]均显著短于开放手术组[(6.37±0.81)cm、(50.53±5.77)min,(6.05±0.58)d,(23.55±0.64)d],差异有统计学意义(P<0.05)。术后6个月关节镜组与开放手术组VAS评分、BCTQ评分、Kelly分级评估比较,差异均无统计学意义(P>0.05)。关节镜组瘢痕长度(0.65±0.09)cm显著短于开放手术组(3.51±1.63)cm,差异有统计学意义(P<0.05)。关节镜组瘢痕痛发生0例,开放手术组瘢痕痛2例,差异无统计学差异(P>0.05),两组患者均未发生神经损伤情况。结论关节镜技术手术和开放手术治疗腕管综合征均有较好的治疗效果。关节镜技术手术时间显著短于开放手术,术后恢复快。
Objective To compare the effects of arthroscopic technique surgery and open surgery in the treatment of carpal tunnel syndrome.Methods This study was a case-control study,a total of 25 patients(27 sides)with carpal tunnel syndrome,13 males(15 sides)and 12 females(12 sides),aged(48.30±12.65)years old and ranging from 40 to 65 years old,were selected from the department of Burn and Plastic Surgery in the General Hospital of the Northern Warfare Zone from March 2018 to September 2020.Patients were randomly divided into arthroscopic group and open surgery group according to the randomization scale.The incision length,surgery time,hospital stay,and time to return to work of the two groups were compared.The patients were evaluated with visual analogue scale(VAS)and Boston carpal tunnel syndrome scale(BCTQ)after 6 months of surgery.The patients were evaluated with Kelly grading 1,3 and 6 months after surgery,and the incidence of complications was counted.Results The length of incision[(1.04±0.12)cm],surgery time[(11.45±0.92)min],hospitalization time[(2.82±0.57)d]and recovery time[(15.73±1.40)d]in the arthroscopic group were significantly shorter than those in the open surgery group[(6.37±0.81)cm,(50.53±5.77)min,(6.05±0.58)d,(23.55±0.64)d],the differences were statistically significant(P<0.05).There was no significant difference in VAS score,BCTQ score and Kelly grading between the arthroscopic group and the open surgery group 6 months after surgery(P>0.05).The scar length in the arthroscopic group(0.65±0.09)cm was significantly shorter than that in the open surgery group(3.51±1.63)cm,with a statistically significant difference between the groups(P<0.05).There was 0 patient scar pain occurred in the arthroscopic group and 2 patients in the open surgery group,there was no significant difference between the two groups(P>0.05),there was no nerve injury in the two groups.Conclusions Arthroscopic surgery and open surgery are effective in the treatment of carpal tunnel syndrome.The surgery time of arthroscopy was shorter than that of open surgery,and the postoperative recovery was faster.
作者
刘双阳
梁久龙
孔旭
曹政
付洋
李哲
王洪一
陶凯
黄悦
Liu Shuangyang;Liang Jiulong;Kong Xu;Cao Zheng;Fu Yang;Li Zhe;Wang Hongyi;Tao Kai;Huang Yue(Department of Burn and Plastic Surgery,General Hospital of Northern Theater Command,Shenyang 110016,China)
出处
《中国临床实用医学》
2022年第6期1-5,共5页
China Clinical Practical Medicine
基金
国家自然科学基金面上项目(81978145)
国家自然科学基金青年科学基金项目(82002047)
辽宁省科学技术计划项目(2021JH2/10300108)。
关键词
腕管综合征
关节镜技术
开放手术
Carpal tunnel syndrome
Arthroscopic technique
Open surgery
