手术治疗在腕关节骨折脱位并发腕管综合征的临床体会

Surgery in The Rist Fracture Dislocation Complicated by The Clinical Experience of The Carpal Tunnel Syndrome

目的:观察探讨手术治疗在腕关节骨折脱位并发腕管综合征的临床疗效,总结其临床价值。方法:选取我院2009年1月至2011年1月49例腕关节骨折脱位并发腕管综合征的患者,分为非手术治疗组31例和手术治疗组25例,观察比较两组治疗效果,进行统计学分析。结果:非手术治疗组优12例,良9例,不满意7例,失败3例,总有效率67.7%;手术治疗组优10例,良12例,不满意3例,无失败案例,总有效率88.0%,两组疗效比较差异显著(P<0.05),具有统计学意义。结论:手术治疗在腕关节骨折脱位并发腕管综合征的临床疗效显著,尤其适用于正中神经的原发伤,修复腕关节的韧带,对于出现术后拇对掌功能障碍的并发症时,应积极采取II期拇对掌功能重建术促进正中神经功能恢复,减少后遗症出现。

Objective：Observation of surgery in the wrist fracture dislocation complicated by carpal tunnel syndrome,the clinical efficacy and summarize its clinical value.Methods：From January 2009 to January 2011,49 cases of wrist fracture dislocation complicated by carpal tunnel syndrome patients,divided into 31 cases of non-surgical treatment group and surgical group of 25 cases,the observed treatment effects were compared for statistical analysis.Results： Non-surgical treatment group were excellent in 12 cases,good in 9 cases,are not satisfied with seven cases of failure of three cases,the total efficiency of 67.7%;surgical treatment were excellent in 10 cases,good in 12 cases,are not satisfied with three cases,no failures,the total efficiency of 88.0%,the two groups significantly different（P〈0.05）,with statistical significance.Conclusion：Surgical treatment of wrist fracture dislocation complicated by significant clinical effect of carpal tunnel syndrome,especially suitable for the primary injury of the median nerve to repair the ligaments of the wrist,for the complications of postoperative thumb on the palm dysfunction occurs,should actively take II of thumb is to promote palm functional reconstruction of the median nerve functional recovery and reduce complications appear.