腕关节镜下单通道腕管松解术治疗腕管综合征疗效分析

  目的  回顾分析腕关节镜下单通道腕管松解术治疗腕管综合征（CTS）的资料，探讨该术式的临床疗效。  方法  收集2020年12月至2021年12月之间昆明医科大学第一附属医院运动医学科收治的腕管综合征患者47例作为研究对象。所有患者均采用腕关节镜下单通道腕管松解术治疗腕管综合征，然后对所有患者进行至少6个月的随访，并运用改良波士顿腕管综合征评分量表（SSS评分和FSS评分），对患者术前与术后症状及功能恢复情况进行对比研究。  结果  经过随访研究，47例患者手麻症状及手功能较术前明显改善，术后手腕部疼痛等并发症发生率较低。治疗前SSS评分为（37.23±2.42），治疗后为（12.47±0.95），经比较差异有统计学意义（P < 0.05）；治疗前FSS评分（10.00±1.12），治疗后为（30.76±2.64），经比较差异有统计学意义（P < 0.05）。  结论  腕关节镜下单通道腕管松解术治疗腕管综合征可以取得可靠的临床疗效，能够明显的缓解患者手麻等症状及提高手功能，术后疼痛等并发症较低，值得临床推广。

Effect Analysis of Single Channel Carpal Tunnel Release under Carpal Arthroscopy in the Treatment of Carpal Tunnel Syndrome

  Objective   To review the data of carpal tunnel release surgery in the treatment of carpal tunnel syndrome （CTS） with carpal arthroscopy, and to explore the clinical effect of this operation.   Methods   47 patients with carpal tunnel syndrome admitted in our department between December 2020 and December 2021 as the object in this study. All patients were treated with carpal tunnel syndrome by single-channel carpal tunnel release surgery under carpal arthroscopy, and all patients were followed up at least for 6 months. The recovery of symptoms and function before and after surgery was compared using the Modified Boston Carpal Tunnel Syndrome Score Scale （SSS score and FSS score）.   Results  After follow-up investigation, the symptoms of hand anesthesia and function in 47 patients were significantly improved compared with those before surgery, and the incidence of postoperative wrist pain was small. SSS score was （47.53±2.2） before and （82.13±9.42） after surgery, and the difference was statistically significant （P < 0.05）. FSS score was （10.00±1.12） before and （30.76±2.64） after surgery, and the difference was statistically significant （P < 0.05） .   Conclusion  Carpal arthroscopy single channel carpal tunnel release in the treatment of carpal tunnel syndrome can achieve reliable clinical efficacy, can significantly relieve patients with hand anesthesia and other symptoms, can reduce complication of postoperative pain and improve hand function, is worth popularizing in clinical use.