小切口治疗腕管综合征34例临床价值观察

Clinical value observation of small incision in treatment of 34 cases of carpal tunnel syndrome

目的观察小切口治疗腕管综合征的临床价值。方法选取2009—2011年来我院接受治疗的腕管综合征患者68例，通过计算机随机分组的方式将其分为实验组和对照组，每组34例，实验组患者给予小切口法治疗腕管综合征，而对照组患者给予传统开放式手术治疗腕管综合征，两组患者均术后随访9个月，比较两组患者的总体治疗效果，术后的两点分辨觉、并发症比例及围手术期的各项重要指标（手术时间、住院时间、术中出血量）。结果两组患者的总体治疗效果差异无统计学意义（P〉0．05），但是实验组患者手术后两点分辨觉的恢复上及围手术期的各项重要指标的对比中均要显著优于对照组，差异有统计学意义（P〈0．05），在并发症的发生比例上要显著小于对照组，差异有统计学意义（P〈0．05）。结论小切口治疗腕管综合征的疗效与传统手术相当，但并发症、手术时间、住院时间、术中出血量均更少，且术后分辨觉恢复程度更好，值得临床推广。

Objective To observe the clinical value of small incision in treatment of carpal tunnel syndrome. Methods 68 patients with carpal tunnel syndrome from 2009 to 2011 in our hospital were selected and randomly divided into experiment group and control group by computer randomized way,34 cases in each group.The experiment group patients were taken small incision treatment,and the control group with conventional open surgical treatment,all patients were followed up for 9 months.The overall treatment effect,postoperative points distinguish sleep,complications proportion,and perioperative important indicators of two groups （operation time,intraoperative blood loss,hospitalizatlon time） were compared. Results The overall therapeutic effect of two groups had no significant difference（P ：〉 0.05）,but the recovery of postoperative points distinguish sleep and important indicators of the experiment group were significantly better than that of the control group（P 〈 0.05）, the complications proportion of the experiment group were significantly less than control group （P 〈 0.05）. Conclusion The curative effect of small incision in treatment of carpal tunnel syndrome is corresponding with traditional surgery, but Complications,operation time,hospitallzation time,intraoperative blood loss are less,the recovery degree of postoperative distinguish sleep better,worthy of clinical promotion.