腕管镜下Chow法手术治疗糖尿病腕管综合征

摘要

Objective To investigate the safety and efficacy of endoscopic carpal tunnel release( ECTR) with Chow ’ s technique in diabetic patients.Methods The clinical data of 70 patients ( 90 wrists ) were underwent ECTR using Chow ’ s two portal technique under local anesthesia were analyzed retrospectively.Results According to Kelly’ s criteria, the results were excellent in 74 wrists, good in 8, fair in 7 and poor in 1.The excellent and good rate was 91%. The mean period for returning to work was 3.5 weeks.In addition, no operation-induced neurovascular or tendon injury and infection ocurred in any patients .Conclusions ECTR with Chow’ s technique in diabetic patients is safe and effective.Compared with OCTR, with reduction in the destruction of tissue and rapid postoperative recovery , ECTR is more suitable for diabetic patients.%目的：评价双切口Chow法腕管镜手术减压（ ECTR ）治疗糖尿病腕管综合征的安全性和有效性。方法回顾分析糖尿病腕管综合征患者70例90腕在局麻下行双切口Chow法腕管镜下腕管切开手术临床资料。结果根据Kelly分级，随访90腕中74腕优，8腕良，7腕一般，1腕差。优良率为91％。没有复发病例。平均恢复工作时间为3．5周。无手术相关的神经血管和肌腱损伤，无感染病例。结论采用Chow法腕管镜下对糖尿病腕管综合征进行治疗，安全、有效、创伤小、恢复快。鉴于糖尿病患者机体恢复较差，与常规开放腕管手术相比，创伤小的内镜手术更为适合。