摘要
目的：探讨急性腕管综合征的手术治疗方法和效果。方法：对14例急性腕管综合征患者的手术方法进行分析总结，手术主要是切开腕横韧带，清除积血和炎性渗出物及致压物，解除粘连，彻底松解正中神经和血管受压。结果：切口均I期愈合，手部肿胀于1周内消退，神经症状逐渐恢复，完全恢复正常时间2～45d，平均15d。随访6个月-1年，无一例复发，患手功能良好。结论：对急性腕管综合征患者，经短时间观察和保守治疗无效，早期手术可获得满意疗效。
Objective：To explore the method and the effect of surgical treatment tor acute carpal tunnel syndrom. Methods：Fourteen patients with acute carpal tunnel syndrome were treated with surgical operation. During the operation ,we cut the transverse carpal ligament, cleaned out the hematocele and inflammatory exudates in the tunnel, thoroughly released the nerve adhesion and the compression of median never. Results： All incisions were primary healing and the edema of the hand vanished within 1 week. The nerve symptom grad- ually recoved （recovery to normal time was 2 -45 days with average of 15 days）. Patients were followed up for 6 - 12 month after operation and the function of hand was excellent result. No relapsing symptom was found. Conclusion： Early decompression can obtain satisfactory effect for acute carpal tunnel syndrom after short-time observation and the conservative treatment failed.
出处
《中国骨伤》
CAS
2006年第7期428-429,共2页
China Journal of Orthopaedics and Traumatology
关键词
急性腕管综合征
外科手术
Acute carpal tunnel syndrom
Surgical procedures,operative
