摘要
目的随访近3年收治的128例腕管综合征的诊治情况。方法收集与分析2002年3月至2005年3月间,128例腕管综合征患者的病情特点及治疗效果。128例腕管综合征中女性患者为113例,男性为15例,男与女之比为1：7．5；年龄中41岁以上占91．4%。全部病例均出现1～3指麻木,83．6%的病例有夜间麻醒史,87．5%的病例1～3指刺痛觉减退,5．4%病例刺痛过敏。电生理检测均有腕部正中神经卡压征象。112例应用掌心切口切开屈肌支持带,12例在内窥镜视下切开屈肌支持带,4例应用腕及掌心小切口切开屈肌支持带。结果76例经术后1～4年的随访,其中症状消除,功能满意者51例(67．1%)；症状大部消除,功能基本满意者19例(25．0%)；症状残留,功能未改善者6例(7．9%),其中4例为刺痛过敏患者。结论腕管综合征诊断明确后,手术治疗92%病例均能取得满意或基本满意的疗效,对感觉过敏型病例手术应谨慎。
Objective To analyze the diagnosis and treatment of 128 cases of carpal tunnel syndrome treated in the past 3 years. Methods 12,3 cases of carpal tunnel syndrome treated from March 2002 to March 2005 were reviewed. The manifestation and treatment outcome was analyzed, among 128 patients, 113 were female and 15 were male. The male to female ratio was 1：7.5.91.4% of patients were over 41 years old. All the patients had paresthesia in median nerve territory. In 83.6% oftbe cases the symptom became more severe during night. Pin prick sensation of thumb, index finger and middle finger was noted to be decreased in 87.5% of the cases and increased in 5.4%. Electrophysiologic examination unexceptional showed median nerve entrapment at the carpal tunnel. 112 cases were treated by open carpal tunnel release, 12 cases by endoscopic release, and the other 4 by carpal tunnel release via a limited incision. Results 76 patients were followed-up for 1 to 4 years. Among them, 51 cases （67.1% ） had complete relief of the symptoms and satisfactory function. In 19 cases （25.0%） the symptoms disappeared mostly. The results were considered poor in 6 cases （7.9%） of which 4 had over-sensitivity in pin prick sensation of the thumb, index finger and middle finger. Conclusion Once the diagnosis is clear, surgical treatment can yield satisfying results in 92% of the cases. However caution should be used in patients with hypersensitivity.
出处
《中华手外科杂志》
CSCD
北大核心
2006年第5期283-285,共3页
Chinese Journal of Hand Surgery
关键词
腕管综合征
正中神经
随访研究
Carpal tunnel syndrome
Median nerve
Follow-up studies
