摘要
目的探讨腕管内压力测定在内镜下微创治疗腕管综合征中的应用。方法38例47腕应用内镜下微创松解腕横韧带治疗腕管综合征,其中16例21腕手术前后分别在休息位、屈腕位、伸腕位及Okutsu试验下作腕管内压力测定。结果在同一体位下,腕横韧带松解术后腕管内的压力与术前相比有明显降低(P<0.01)。结论根据手术前后腕管内压力的变化判断松解程度,避免因腕横韧带松解不完全而影响手术疗效,具有良好的临床实用价值。
Objective To investigate the feasibility of measurement of pressure in the carpal canal before and after endoscopic management of carpal tunnel syndrome. Methods The endoscopic release procedures were performed in 47 wdsts with carpal tunnel syndrome in 38 patients. The pressure in the carpal canal was measured in 21 wrists of 16 patients preoperatively and postoperatively in the resting position, the extension position, the flexion position and the Okutsu test position. Results Compared with the pressure in the carpal canal before the operation, the pressure after the operation decreased significantly （P〈0.01） in the same position. Conclusion The pressure change before and after the operation could be used to assess the extent of release and avoid the incomplete decompression procedure.
出处
《医用生物力学》
EI
CAS
CSCD
2008年第3期234-236,共3页
Journal of Medical Biomechanics
关键词
腕管综合征
内镜
压力
Carpal tunnel syndrome
Endoscope
Pressure
