小切口腕管松解术治疗腕管综合征对术后功能恢复及电生理指标的影响

Effects of small-incision carpal tunnel release on postoperative functional recovery and electrophysiological indexes in carpal tunnel syndrome

目的探讨小切口腕管松解术治疗腕管综合征(CTS)对术后功能恢复及电生理指标的影响。方法选取2016年4月至2021年4月在树兰(杭州)医院就诊的75例CTS患者为研究对象,根据手术方式分为A组(34例)和B组(41例),A组行小切口腕管松解术治疗,B组行传统腕管松解术治疗。比较两组手术时间、住院时间、恢复工作时间、术前术后电生理指标及术后并发症发生情况。结果A组手术时间、住院时间以及恢复工作时间与B组比较更短[(12.32±3.26)min比(34.65±7.49)min、(5.15±1.68)d比(7.83±2.24)d、(18.22±2.03)d比(37.35±3.16)d],差异均有统计学意义(P<0.05);术后两组电生理指标优于术前(P<0.05),但组间比较差异无统计学意义(P>0.05);A组瘢痕痛、握力下降、手墩部痛发生率低于B组[2.94%(1/34)比19.51%(8/41)、0比21.95%(9/41)、0比12.20%(5/41)],差异均有统计学意义(P<0.05)。结论相比传统腕管松解术治疗CTS患者,小切口腕管松解术治疗临床疗效等同,但可以缩短手术时间、住院时间以及恢复工作时间,术后并发症发生率更低,更具有应用价值。

Objective To explore the effects of small-incision carpal tunnel release on postoperative functional recovery and electrophysiological indexes in carpal tunnel syndrome(CTS).Methods A total of 75 patients with CTS treated in Shulan(Hangzhou)Hospital were enrolled as the research objects between April 2016 and April 2021.According to different surgical methods,they were divided into group A(34 cases,small-incision carpal tunnel release)and group B(41 cases,traditional carpal tunnel release).The operation time,hospitalization time,time to resume work,electrophysiological indexesbefore and after surgery,and postoperative complications were compared between the two groups.Results Compared with group B,operation time,hospitalization time and time to resume work were shorter in group A:(12.32±3.26)min vs.(34.65±7.49)min,(5.15±1.68)d vs.(7.83±2.24)d,(18.22±2.03)d vs.(37.35±3.16)d(P<0.05).After surgery,electrophysiological indexes in both groups were improved(P<0.05),but there was no significant difference between the two groups(P>0.05).The incidence rates of scar pain,decreased grip strength and hand piercing pain in group A were lower than those in group B:2.94%(1/34)vs.19.51%(8/41),0 vs.21.95%(9/41),0 vs.12.20%(5/41)(P<0.05).Conclusions Compared with traditional carpal tunnel release,clinical curative effect of small-incision carpal tunnel release is comparable on CTS patients.However,it can shorten operation time,hospitalization time and time to resume work,reduce incidence of postoperative complications.