ERAS结合腕关节镜治疗腕管综合征的临床研究

Clinical Study of ERAS Combined with Wrist Arthroscopy in the Treatment of Carpal Tunnel Syndrome

对比传统腕管切开减压术(OCTR)和加速康复理念下的腕关节镜下切开减压治疗腕管综合征(ECTR)的治疗效果。设计随机对照试验,自2016年4月～2017年4月共有60例腕管综合征患者纳入研究,随机分为试验组和对照组每组各30例。2组所有患者均在术后1个月、3个月、6个月、12个月进行随访。结果显示ECTR组的平均住院时间、手术时间术后VAS评分都远低于OCTR组。术后1个月时2组的肌电图和高频超声剪切波弹性成像对照组要优于试验组,但术后3个月以后两组的结果无差异。因此,ECTR对比OCTR在治疗CTS上术后效果无明显差异,但在减少患者住院时间、手术时间以及手术痛苦方面有明显的优势。

To compare the therapeutic effect of endoscopic carpal tunnel release(ECTR) combine ERAS and traditional open carpal tunnel release (OCTR). A randomized controlled trial was designed to compare the effects of two treatment of CTS, and 60 cases of carpal tunnel syndrome were selected from April 2015 to April 2017, which were randomly divided into 30 cases in the experimental group and the control group. All groups were followed-up at 1, 3, 6 and 12 months after operation. The results showed that the average hospitalization time, operation time and the postoperative VAS scores in group ECTR were much lower than those in group OCTR. The electromyography and high frequency ultrasonic shear wave elastography in the 2 groups were better than those in the experimental group at 1 months after operation, but there was no difference in the two groups after 3 months. Therefore, there is no significant difference in the effect of ECTR compared with OCTR on the treatment of CTS, but it has obvious advantages in reducing the time of hospitalization, the time of operation and the pain of the operation.