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This paper evaluates the effect and the safety of ultrasound-assisted endoscopic carpal tunnel release. 51 patients with unilateral carpal tunnel syndrome admitted to our hospital from June 2019 to December 2020 are selected to be treated with the endoscopic transverse carpal ligament release assisted by ultrasound. In addition, the Boston Carpal Tunnel Scale Symptom Severity Scale (SSS), the Boston Carpal Tunnel Scale Functional Status Scale (FSS), the median nerve flattening rate at the level of the hamate bone (FR) are recorded before the surgery, and 1 month and 3 months after the surgery. According to the follow-up among the 51 patients, the SSS score and the FSS score of patients 1 month and 3 months after the surgery are significantly lower than those before the surgery, with statistical significance (P<0.05) and the FR is decreased gradually 1 month and 3 months after the surgery, with statistical significance (P<0.05). According to the current status and the suggestions in the functional evaluation standard for the carpal tunnel syndrome and the cubital tunnel syndrome, the good rate is 98.0%, because of no vascular nerve injury, infection and other complications. Endoscopic transverse carpal ligament release assisted by ultrasound can visualize the transverse carpal ligament and its surrounding anatomical structure through a small incision to evaluate the release effect of the transverse carpal ligament and to reduce the complications of the vascular and nerve injury. Besides, the postoperative patients have recovered well and are satisfied with the treatment effect, so the treatment is worthy of clinical promotion., authors=WU Bingbing, SUN Xin, XIA Fei, ZHANG Haiping, authorsList=WU Bingbing, SUN Xin, XIA Fei, ZHANG Haiping, authorCompany=The Second Affiliated Hospital of Nantong University;First People's Hospital of Nantong, Nantong 226001, China, correspAuthors=null, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=scGY2pXeJCame/P8RvCDOw==, pdfFileSize=1156281, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1242139681832382965, articleId=1242139679982690362, tenantId=1146029695717560320, journalId=1146031591421210625, 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新型超声辅助内镜下腕管松解技术及应用
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科技导报 | 专题:冬奥医学 2022,40(2): 76-81
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科技导报 | 专题:冬奥医学 2022, 40(2): 76-81
新型超声辅助内镜下腕管松解技术及应用
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吴兵兵, 孙鑫, 夏非, 张海平
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    南通大学第二附属医院;南通市第一人民医院, 南通 226001

通讯作者:

张海平(通信作者),主治医师,研究方向为运动医学,电子信箱:27959919@qq.com
New treatment of ultrasound-assisted endoscopic carpal tunnel release
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出版时间: 2022-01-28 doi: 10.3981/j.issn.1000-7857.2022.02.011
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腕管综合征的发病过程与腕关节过度屈伸和劳损有关,为探究用超声辅助内镜技术治疗腕管综合征的疗效及安全性,选择2019年6月至2020年12月南通大学第二附属医院收治的51例单侧腕管综合征患者,在超声辅助行内镜下腕横韧带松解术,分别于术前、术后1个月、术后3个月进行波士顿腕管量表的症状严重程度评分(SSS)及功能状态评分(FSS)、测量钩骨水平正中神经扁平率(FR),最终评估其疗效及安全性。术后51例患者均获得随访,患者术后1个月、术后3个月SSS评分及FSS评分较术前均明显下降,有统计学意义(P<0.05); FR在术后1个月、术后3个月逐渐下降,有统计学意义(P<0.05);根据腕管综合征与肘管综合征功能评定标准的现状与建议,优良率94.1%,术后均未有血管神经损伤、感染等并发症发生。借助超声辅助内镜技术治疗腕管综合征的术野清晰、安全性高、创伤小,患者症状缓解迅速、术后恢复快,值得临床推广。
腕管综合征  /  超声辅助  /  腕关节镜  /  柱状痛  /  扁平率
The pathogenesis of the carpal tunnel syndrome is related to the excessive flexion and extension of the wrist joint and the strain, such as due to the improper posture of grasping the snowstick when skiing. This paper evaluates the effect and the safety of ultrasound-assisted endoscopic carpal tunnel release. 51 patients with unilateral carpal tunnel syndrome admitted to our hospital from June 2019 to December 2020 are selected to be treated with the endoscopic transverse carpal ligament release assisted by ultrasound. In addition, the Boston Carpal Tunnel Scale Symptom Severity Scale (SSS), the Boston Carpal Tunnel Scale Functional Status Scale (FSS), the median nerve flattening rate at the level of the hamate bone (FR) are recorded before the surgery, and 1 month and 3 months after the surgery. According to the follow-up among the 51 patients, the SSS score and the FSS score of patients 1 month and 3 months after the surgery are significantly lower than those before the surgery, with statistical significance (P<0.05) and the FR is decreased gradually 1 month and 3 months after the surgery, with statistical significance (P<0.05). According to the current status and the suggestions in the functional evaluation standard for the carpal tunnel syndrome and the cubital tunnel syndrome, the good rate is 98.0%, because of no vascular nerve injury, infection and other complications. Endoscopic transverse carpal ligament release assisted by ultrasound can visualize the transverse carpal ligament and its surrounding anatomical structure through a small incision to evaluate the release effect of the transverse carpal ligament and to reduce the complications of the vascular and nerve injury. Besides, the postoperative patients have recovered well and are satisfied with the treatment effect, so the treatment is worthy of clinical promotion.
carpal tunnel syndrome  /  ultrasound assisted  /  wrist arthroscopy  /  pillar pain  /  flatness rate
吴兵兵, 孙鑫, 夏非, 张海平. 新型超声辅助内镜下腕管松解技术及应用. 科技导报, 2022 , 40 (2) : 76 -81 . DOI: 10.3981/j.issn.1000-7857.2022.02.011
WU Bingbing, SUN Xin, XIA Fei, ZHANG Haiping. New treatment of ultrasound-assisted endoscopic carpal tunnel release[J]. Science & Technology Review, 2022 , 40 (2) : 76 -81 . DOI: 10.3981/j.issn.1000-7857.2022.02.011
2022年第40卷第2期
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doi: 10.3981/j.issn.1000-7857.2022.02.011
  • 接收时间:2021-10-16
  • 首发时间:2022-03-05
  • 出版时间:2022-01-28
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  • 收稿日期:2021-10-16
  • 修回日期:2021-12-10
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张海平(通信作者),主治医师,研究方向为运动医学,电子信箱:27959919@qq.com
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2种不同金属材料的力学参数

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species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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