不同方法治疗腕管综合征临床分析.docVIP

不同方法治疗腕管综合征的临床分析 　　[摘要] 目的 探讨保守封闭疗法与开放手术治疗腕管综合征的临床疗效与安全性。 方法 方便选取2013年10月―2017年10月该院88例腕管综合征患者为研究对象，依据治疗方法不同分为实验组（开放手术联合局部注射，44例）和对照组（保守封闭疗法，44例）。治疗后随访，对比观察两组疗效，统计并发症及复发率。 结果 实验组治疗有效率（95.95%）?c对照组（671.23%）比较差异有统计学意义（χ2=6.74，P0.05）。实验组并发症发生率（5.41%）与对照组（1.37%）比较差异无统计学意义（χ2=0.96，P0.05）。实验组复发率（2.70%）与对照组（19.18%）比较差异统计学意义（χ2=5.81，P0.05）。结论 开放手术联合激素类药物局部注射治疗腕管综合征效果确切，可有效改善患者临床症状，并发症少，复发率低，应用安全有效，值得推广使用。 　　[关键词] 腕管综合征；封闭治疗；开放手术；疗效；复发 　　[中图分类号] R688 [文献标识码] A [文章编号] 1674-0742（2018）02（c）-0047-03 　　Clinical Analysis of Different Methods in the Treatment of Carpal Tunnel Syndrome 　　YE Yong-cheng 　　Department of Food and Hand Surgery， People’s Hospital of Xinghua， Xinghua， Jiangsu Province， 225700 China 　　[Abstract] Objective This paper tries to explore the clinical efficacy and safety of conservative closed therapy and open surgery in the treatment of carpal tunnel syndrome. Methods To Convenient selection of 88 patients with carpal tunnel syndrome from October 2013 to October 2017 in this hospital， according to different treatment methods， they were divided into experimental group （open surgery combined with local injection， 44 cases） and control group （conservative closure therapy， 44 cases）. Follow-up after treatment， comparative observation of the efficacy of the two groups， statistical complications and recurrence rate. Results The effective rate of treatment in the experimental group （95.95%） was significantly different from that of the control group （71.23%） （χ2=6.74， P0.05）. There was no significant difference in the incidence of complications between the experimental group （5.41%） and the control group （1.37%） （χ2=0.96， P0.05）. The recurrence rate of the experimental group （2.70%） was significantly different from that of the control group （19.18%） （χ2=5.81， P0.05）. Conclusion Open operation combined with local injection of hormonal drugs is effective in treating carpal tunnel syndrome. It can effectively improve clinical symptoms， fewer complications， low recu