不同手术方法治疗腕管综合征的临床疗效分析

目的探讨两种不同手术方法治疗腕管综合征的临床疗效和安全性。方法对58例腕管综合征患者随机分为微创双小切口腕管松解术组(A组,28例)和内镜下腕管松解术组(B组,30例),随访14~36个月,主要观察术后并发症(包括瘢痕痛、手墩柱部痛、返支损伤及RSD)、恢复工作时间,并采用Kelly评定法评价临床疗效。结果 A组优良率为96.43%,B组优良率为96.67%,差异无统计学意义(P>0.05),B组的术后并发症及术后恢复工作时间优于A组(P<0.05)。结论微创双小切口腕管松解术及内镜下腕管松解术治疗腕管综合征都有效,但内镜下腕管松解的手术治疗方法更为安全。

Clinical effects of different surgical methods in the treatment of carpal tunnel syndrome.

Objective To discuss the clinical effects and safety of treating carpal tunnel syndrome with two different surgical methods. Methods Fifty-eight patients with carpal tunnel syndrome were randomly divided into two groups. Group A (n=28) was treated by minimally invasive double small incision carpal tunnel release operation, and group B (n=30) was treated by endoscopic carpal tunnel release operation. and the patients were followed up for 14~36 months, then the clinical effects and safety of the two methods were analysed and evaluated. Results The excellent rate was 96.43% in group A and 96.67% in group B, showing no statistically significant difference between the two groups (P>0.05). Group B got less postoperative complications and shorter time to return to work than group A (P<0.05). Conclusion The minimally invasive double small incision carpal tunnel release operation and the endoscopic carpal tunnel release operation are both effective in the treatment of carpal tunnel syndrome, but the latter is safer.