Clinical comparative study of reforming endoscopic minimally invasive releasing versus open procedure for unilateral carpal tunnel syndrome

VernacularTitle:改良微创术与传统切开法治疗单侧发病腕管综合征的比较研究
Author: Bin CHEN ; Xiaohui YANG ; Jiabao SHOU ; Qinglong MAO ; Jing KONG ; Haihan WANG ; Zheming TANG
Publication Type:Journal Article
Keywords: Endoscopes; Minimally invasive; Carpal tunnel syndrome
From: Clinical Medicine of China 2012;28(4):368-370
CountryChina
Language:Chinese
Abstract: Objective To compare the efficacy of the reforming endoscopic minimally invasive releasing(REMIR) with open procedure for treatment of carpal tunnel syndrome.Methods Senventy patients with unilateral carpal tunnel syndrome were randomly divided into REMIR group and open procedure group,with 35 cases in each group.Kelly's standard,two-point discrimination,operation time and complication occurrence were compared between the two groups.Results All patients were followed-up for 12 months.There was no significant difference in the therapeutic results and in the improvement of two-point discrimination between the two groups (P ＞ 0.05 ).The operation time of REMIR group was significantly shorter than the open procedure group ([ 10.03 ± 1.84] min vs [37.63 ±7.18]min,t =22.210,P ＜0.001 ).And there was no cases with scar tenderness in REMIR group while there was 7 cases in open procedure group.Conclusion Compared with the open procedure,the REMIR method has the same clinical efficacy while with the advantages of causing smaller skin scar and being less time consuming.