Objective To evaluate the clinical value of open surgery and arthroscopic release for carpal tunnel syndrome. Methods A total of 96 patients with carpal tunnel syndrome admitted to Affiliated Hospital of Jining Medical College from January 2016 to September 2018 were selected. And they were divided into study group and control group according to the random number table method, with 48 cases in each group. Patients in study group were treated by arthroscopic release and patients in control group were treated by open surgery. The therapeutic effect, surgical condition and short-term prognosis of the two groups were compared. Results According to disability of arm, shoulder and hand ( DASH) scale score, the wrist joint function of patients with carpal tunnel syndrome was significantly improved after operation ( P<0. 05 ) , but there was no significant difference in the scores of DASH scale between the two groups before and after operation ( P>0. 05 ) . The time of operation, intraoperative blood loss and hospital stay after operation in study group were significantly less than those in control group (P<0. 05). The incidence of postoperative adverse reactions in study group (4. 35％) was lower than that in control group ( 21. 74％) , P<0. 05 . Conclusions On the basis of ensuring the clinical curative effect, arthroscopic release in the treatment of carpal tunnel syndrome can result in better surgical quality and prognosis, which is beneficial to protecting the quality of life of patients and maintaining a good doctor-patient relationship.%目的 探讨开放手术和关节镜下松解术对腕管综合征的临床治疗价值.方法 选择济宁医学院附属医院2016年1月至2018年9月收治的腕管综合征患者96例,按随机数字表法将其分为研究组和对照组,每组48例.研究组行关节镜下松解术治疗,对照组行开放手术治疗.比较两组治疗效果、手术情况及近期预后.结果 两组术后臂肩手障碍调查量表(DASH)评分显示腕关节功能均较术前改善(P<0.05),但两组术前、术后DASH量表评分比较差异均未见统计学意义(P均>0.05);研究组手术时间、术中出血量、术后住院时间均少于对照组(P均<0.05);研究组术后不良反应发生率(4.35％)低于对照组(21.74％),P<0.05.结论 在确保临床疗效的基础上应用关节镜下松解术治疗腕管综合征可获得更优的手术质量及预后,有利于保障患者的生活质量及维持良好的医患关系.
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