摘要
目的:比较腕关节镜下手术和开放性手术治疗腕管综合征的效果。方法:选取东莞市中医院2019年4月至2021年1月收治的40例腕管综合征患者作为研究对象,根据随机数字表法将所有患者分为对照组与观察组,各20例。对照组患者进行常规开放性手术治疗,观察组患者进行腕关节镜下手术治疗,术后按照常规治疗并指导术后功能锻炼。分别对两组患者围手术期各项指标进行比较;分别对两组患者在术后2周、1个月、半年采用Kelly标准评价的方法进行评分。结果:观察组患者手术时间、术后住院时间短于对照组,切口长度小于对照组,术中出血量少于对照组,治疗费用高于对照组,差异均具有统计学意义(P<0.05)。观察组患者术后2周、术后1个月、术后半年治疗优良率均高于对照组,差异具有统计学意义(P<0.05)。结论:与开放性手术相比,腕关节镜下术临床操作简单、创伤小等,且治疗短期效果更优,但开放性手术手术治疗费用低于腕关节镜下术,临床应用可参考患者意愿和临床实际情况酌情选择。
Objective To compare the effects of wrist arthroscopic surgery and open surgery in the treatment of carpal tunnel syndrome.Methods Select 40 cases of carpal tunnel syndrome patients admitted to Dongguan Hospital of Traditional Chinese Medicine from April 2019 to March 2021 as the research objects.According to the random number table method,all patients were divided into group A and group B,with 20 cases in each group.Patients in group A underwent conventional open surgery,and patients in group B underwent wrist arthroscopic surgery.After the operation,they followed conventional treatment and guided postoperative functional exercises.The perioperative indicators of the two groups of patients were compared respectively;the two groups of patients were scored using the Kelly standard evaluation method at 2 weeks,1 month,and half a year after surgery.Results The operation time and postoperative hospital stay of group B were shorter than those of group A,the incision length was shorter than that of group A,the amount of intraoperative blood loss was less than that of group A,and the treatment cost was higher than that of group A.The difference was statistically significant (P<0.05).There was no statistically significant difference in the excellent and good treatment rate between the two groups of patients 2 weeks after the operation (P>0.05),and the difference in the excellent and good treatment rates at 1 month and half a year after the operation was statistically significant (P<0.05).Conclusion Compared with open surgery,wrist arthroscopy has advantages that open surgery does not have,such as simple clinical operation and less trauma,and the short-term effect of wrist arthroscopy is better than open surgery,but open surgery The cost of surgical treatment is lower than that of wrist arthroscopy,and the clinical application can be selected according to the patient’s wishes and clinical actual situation.
作者
王晓添
任玉琦
邹凡
WANG Xiao-tian;REN Yu-qi;ZOU Fan(Dongguan Hospital of Traditional Chinese Medicine,Guangdong Dongguan 523000)
出处
《深圳中西医结合杂志》
2021年第14期98-100,共3页
Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
基金
东莞市社会科技发展(一般)项目资助课题(201950715002766)。
关键词
腕管综合征
腕关节镜术
开放性手术
Carpal tunnel syndrome
Wrist arthroscopy
Open surgery
