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急性腕管综合征的手术治疗

Hits: 2075 Download times: 1372 Received:March 09, 2006

作者	Author	单位	Unit	E-Mail
王晓腾	WANG Xiao-teng	宁海第一医院骨科,浙江宁海315600	Department of Orthopaedics,the First Hospital of Ninghai,Ninghai 315600,Zhejiang,China
陈昌伟	CHEN Chang-wei	宁波解放军113医院骨科

期刊信息：《中国骨伤》2006年19卷，第7期，第428-429页

DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz

目的:探讨急性腕管综合征的手术治疗方法和效果。

方法:对14例急性腕管综合征患者的手术方法进行分析总结,手术主要是切开腕横韧带,清除积血和炎性渗出物及致压物,解除粘连,彻底松解正中神经和血管受压。

结果:切口均Ⅰ期愈合,手部肿胀于1周内消退,神经症状逐渐恢复,完全恢复正常时间2~45d,平均15d。随访6个月~1年,无一例复发,患手功能良好。

结论:对急性腕管综合征患者,经短时间观察和保守治疗无效,早期手术可获得满意疗效。

[关键词]:急性腕管综合征外科手术

Surgical treatment of acute carpal tunnel syndrom

Abstract:

Objective:To explore the method and the effect of surgical treatment for acute carpal tunnel syndrom.

Methods:Fourteen patients with acute carpal tunnel syndrome were treated with surgical operation.During the operation,we cut the transverse carpal ligament,cleaned out the hematocele and inflammatory exudates in the tunnel,thoroughly released the nerve adhesion and the compression of median never.

Results:All incisions were primary healing and the edema of the hand vanished within 1 week.The nerve symptom gradually recoved(recovery to normal time was 2-45 days with average of 15 days).Patients were followed up for 6-12 month after operation and the function of hand was excellent result.No relapsing symptom was found.

Conclusion:Early decompression can obtain satisfactory effect for acute carpal tunnel syndrom after short-time observation and the conservative treatment failed.

KEYWORDS:Acute carpal tunnel syndrom Surgical procedures,operative

引用本文，请按以下格式著录参考文献：

中文格式:	王晓腾,陈昌伟.急性腕管综合征的手术治疗[J].中国骨伤,2006,19(7):428~429
英文格式:	WANG Xiao-teng,CHEN Chang-wei.Surgical treatment of acute carpal tunnel syndrom[J].zhongguo gu shang / China J Orthop Trauma ,2006,19(7):428~429

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