| 小切口治疗腕管综合征14例报告 |
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| 引用本文： | 张高孟,马建军,徐建光.小切口治疗腕管综合征14例报告[J].中华手外科杂志,2000,16(1):32-33. |
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| 作者姓名： | 张高孟 马建军 徐建光 |
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| 作者单位： | 张高孟（200040 上海医科大学附属华山医院手外科） |
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| 摘 要： | Objective To introduce the technique of carpal tunnel release by
small incision,and
evaluate its outcome in the treatment of carpal tunnel syndrome.Methods This method was applied
in the operations of 14 cases of carpal tunnel syndrome.An incision 1.5 cm in length was
made at the level of the proximal transverse wrist crease ulnar to the palmaris longus
tendon.The proximal margin of the transverse carpal ligament was visualized and the
ligament was cut subcutaneously under direct vision.The flexor digitorum tendons were
retracted and the edematous synovium excised.Results Follow - up of the patients 2 weeks postoperatively showed
that the symptoms of numbess and pain disappeared in all 14 cases.Normal 2 - PD in the
pulp of the thumb,index
finger and long finger was ＜ 4 mm.One year after the operation,muscle atrophy in 5 patients who sustained preoperative
thenar muscle atrophy was greatly improved with recovery of normal opponens function of
the thumb.No pillar pain and injury of the ulnar nerve and superficial palmar arch was
found.Conclusion Carpal tunnel release under direct vision through a small
incision is a new and effective surgical procedure.
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| 关 键 词： | 腕管综合征 正中神经 小切口 治疗 |
| 修稿时间： | :1999-11-1 |
Carpal tunnel
release by small incision |
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| ZHANG Gaomeng,MA Jianjun,XU Jianguang,et al..Carpal tunnel
release by small incision[J].Chinses Journal of Hand Surgery,2000,16(1):32-33. |
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| Authors: | ZHANG Gaomeng MA Jianjun XU Jianguang |
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| Institution: | ZHANG Gaomeng,MA Jianjun,XU Jianguang,et al. Department of Hand Surgery,Huashan Hospital,Shanghai Medical University,Shanghai 200040,China |
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| Abstract: | Objective To introduce the technique of carpal tunnel release by small incision,and evaluate its outcome in the treatment of carpal tunnel syndrome.Methods This method was applied in the operations of 14 cases of carpal tunnel syndrome.An incision 1.5 cm in length was made at the level of the proximal transverse wrist crease ulnar to the palmaris longus tendon.The proximal margin of the transverse carpal ligament was visualized and the ligament was cut subcutaneously under direct vision.The flexor digitorum tendons were retracted and the edematous synovium excised.Results Follow up of the patients 2 weeks postoperatively showed that the symptoms of numbess and pain disappeared in all 14 cases.Normal 2 PD in the pulp of the thumb,index finger and long finger was < 4 mm.One year after the operation,muscle atrophy in 5 patients who sustained preoperative thenar muscle atrophy was greatly improved with recovery of normal opponens function of the thumb.No pillar pain and injury of the ulnar nerve and superficial palmar arch was found.Conclusion Carpal tunnel release under direct vision through a small incision is a new and effective surgical procedure. |
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| Keywords: | Carpal tunnel syndrome Median nerve |
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