Application and analysis of endoscopic surgery in treating carpal tunnel syndrome
10.3969/j.issn.1007-1989.2018.04.015
- VernacularTitle:内镜下手术治疗腕管综合征的应用分析
- Author:
Jun-Jie LI
1
;
Xin WANG
;
Ke-Yue YANG
;
Feng ZHU
;
Jia-Dong PAN
;
Jian ZHANG
;
Si-Hong LI
;
Yao-Peng HUANG
;
Ke-Jie WANG
;
Bin ZHU
Author Information
1. 浙江省宁波市第六医院 手外科
- Keywords:
carpal tunnel syndrome;
endoscope;
synovium;
hyperplasia;
median nerve
- From:
China Journal of Endoscopy
2018;24(4):69-72
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical effect of endoscopic treatment of carpal tunnel syndrome (CTS) with subsynovial hyperplasia. Methods 37 cases (total 41 wrists) of CTS with subsynovial hyperplasia who accepted endoscopic treatment in our hospital were retrospectively analysised, all the transverse ligament of wrist were cutted off under endoscope and the hyperplastic subsynovial membrane arounding the superficial flexor tendon of finger. The changes of clinical symptoms and signs before and after operation were compared. Results According to Kelly classification, the overall excellent and good rate was 95.12%. After operation, the feel of numb and pain during night disappeared in all patients, the positive rate of Tinel and Phalen sign was both reduced to 2.44% (P < 0.05), and the mean value of two-point discrimination was reduced to (3.5 ± 0.9) mm. No serious complication occurred during treatment. Conclusion For the patients of CTS with subsynovial hyperplasia, to cut the transverse ligament tendon under endoscope and remove the subsynovial around the flexor tendon at the same time is a new and feasible surgical procedure with notable curative effect, which deserves clinical popularization.
