| 维持性血液透析患者腕管综合征的手术疗效评价 |
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| 引用本文： | 高民,刘宏,刘必成,涂岩,黄海泉,张晓良.维持性血液透析患者腕管综合征的手术疗效评价[J].现代医学,2011,39(6):635-637. |
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| 作者姓名： | 高民 刘宏 刘必成 涂岩 黄海泉 张晓良 |
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| 作者单位： | 东南大学附属中大医院肾科,江苏南京,210009 |
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| 摘 要： | 目的:应用神经传导检查(NCS)和握力测试评估维持性血液透析患者腕管综合征(CTS)的手术治疗效果。方法:采用随机分组对照研究,对确诊CTS的维持性血液透析患者28例(其中手术组14例行腕管松解术,非手术组14例行局部类固醇注射、血液透析串联血液灌流等非手术治疗)于术前和术后6个月进行NCS和握力检查,统计比较两组NCS和握力测试报告。结果:手术组治疗后相比治疗前及非手术组治疗后,患肢正中神经的运动神经传导速度和感觉神经传导速度均增快,握力增加(均P<0.05)。结论:腕管松解术治疗CTS可以使得患肢正中神经传导速度增快和握力增加。
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| 关 键 词： | 维持性血液透析 腕管综合征 腕管松解术 |
Surgical treatment on carpal tunnel syndrome in maintenance hemodialysis patients |
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| GAO Min,LIU Hong,LIU Bi-cheng,TU Yan,HUANG Hai-quan,ZHANG Xiao-liang.Surgical treatment on carpal tunnel syndrome in maintenance hemodialysis patients[J].Modern Medical JOurnal,2011,39(6):635-637. |
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| Authors: | GAO Min LIU Hong LIU Bi-cheng TU Yan HUANG Hai-quan ZHANG Xiao-liang |
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| Institution: | GAO Min,LIU Hong,LIU Bi-cheng,TU Yan,HUANG Hai-quan,ZHANG Xiao-liang (Department of Nephrology,Zhongda Hospital,Southeast University,Nanjing 210009,China) |
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| Abstract: | Objective: To evaluate the effectiveness of surgical treatment on carpal tunnel syndrome(CTS) in maintenance hemodialysis patients by nerve conduction studies(NCS) and measurement of grip strength.Methods: Twenty-eight maintenance hemodialysis patients with CTS were.divided into two groups:surgical treatment group with carpal tunnel release and non-surgical treatment group with local steroid injection and hemodialysis plus hemoperfusion.Baseline and follow up evaluations included NCS and measurement of grip... |
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| Keywords: | maintenance hemodialysis carpal tunnel syndrome carpal tunnel release |
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