Recurrent carpal tunnel syndrome research.docVIP

 PAGE \* MERGEFORMAT 23 Recurrent carpal tunnel syndrome research Keywords: Carpal tunnel syndrome Carpal tunnel syndrome is the most common form of entrapment peripheral neuropathy, mainly caused by various reasons, increased pressure inside the carpal tunnel, median nerve in the carpal canal pressure generated by the cards the corresponding control areas neurological dysfunction syndrome. The treatment methods include conservative treatment and surgery. The traditional surgical method is mainly OK carpal tunnel lysis. After the patient’s symptoms are generally reduced, but there are part of the operation will fail. It is reported that 14% to 32% of patients will be a persistent or recurrent symptoms. Of these, 12% require surgical repair 〔1〕. Major cause of recurrent carpal tunnel syndrome are: (1) The transverse carpal ligament incomplete lysis; (2) carpal tunnel within the fibrous connective tissue hyperplasia, scar formation; (3) pain, scar hypertrophy; (4) of recurrent synovial tendon sheath Yan; (5) due to surgery or palmar cutaneous branch of median nerve injury in the formation of neurofibromatosis. The treatment method has been made are many, are the recurrent carpal tunnel syndrome diagnosis and treatment are summarized below. A recurrence of the etiology of Is generally believed that nerve degeneration is due to the long-term results of the oppressed. As the cause nerve compression secondary to micro-changes in the environment led to changes in the nerve microcirculation. Nourishing vascular permeability changes in nerve can lead to nerve edema, fibroblast proliferation, perineurium, myelin sheath and axonal degeneration of the recession, continue to develop within the nourishing blood vessels caused by nerve perineurium reduce the potential for ischemic changes. As the ischemic nerve injury caused by the development eventually lead to a vicious circle: fibrosis, local ischemia, neural capacity to reduce the slide. Abe