不同手术方法治疗腕管综合征临床疗效和安全性分析.docVIP

不同手术方法治疗腕管综合征的临床疗效和安全性分析 　　[摘要] 目的 分析不同手术方法治疗腕管综合征的临床疗效和安全性分析。方法 资料选取该院2014年8月―2015年8月收治的105例腕管综合征患者进行回顾性分析，设计手术方案时将行传统手术治疗的46例设为对照组，将行小切口手术治疗的59例设为研究组，对比两组手术效果及临床疗效。结果 研究组术后疤横疼痛发生率10.17%比对照组26.09%低，且手术时间（13.15±1.30） min、及恢复工作时间（6.87±0.54） d均比对照组（36.03±2.54） min、（9.14±1.01） d短（P0.05）；研究组优良率87.93%比对照组58.70%高（P0.05）。结论 小切口手术较传统术式创伤性更小，可有效缩短手术时间，且安全性高，值得推广。 　　[关键词] 不同手术；腕管综合征；疗效；安全性 　　[中图分类号] R746 [文献标识码] A [文章编号] 1674-0742（2015）12（c）-0022-03 　　Analysis of the Clinical Effects and Safety of Different Procedures in the Treatment of Carpal Tunnel Syndrome 　　HAO Zeng-tao 　　Department of Hand and Foot Surgery， The Second Affiliated Hospital of Inner Mongolia Medical University， Hohhot， Inner Mongolia Autonomous Region， 010058 China 　　[Abstract] Objective To analyze the clinical effects and safety of different procedures in the treatment of carpal tunnel syndrome. Methods The clinical data of 105 patients with carpal tunnel syndrome who had received treatment in our hospital between August 2014 and August 2015 were reviewed. The 46 patients given conventional surgery for treatment were taken as the control group， whereas the other 59 patients treated with small incision surgery were set as the study group. The surgical results and clinical efficacy in the two groups were compared. Results Compared with the control group， the study group had lower incidence of postoperative scar pain （10.17% vs 26.09%）， shorter duration of procedure[（13.15±1.30） min vs （36.03±2.54） min]， earlier time to return to work[（6.87±0.54）d vs （9.14±1.01）d] （P0.05）， and higher excellent and good rate（87.93% vs 58.70%） （P0.05）. Conclusion Compared with the conventional surgery， small incision surgery produces smaller incision with shorter surgical duration and higher safety， thus it is worthwhile to be put into clinical application. 　　[Key words] Different procedures； Carpal tunnel syndrome； Efficacy； Safety 　　腕管综合征（CTS）属于临床较为常见的一种周围神经卡压综合征，其可致使腕掌的腱膜组织呈条索样或者结节样改变，且伴手部疼痛、感觉异常、拇指对掌等功能性障碍。近年来，CT