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Twashakaga gusuzuma ibyavuye mu kimenyetso cya Anatic Cutary gishinzwe kubagwa (MCTR) na Palmar. . 0.398), SSS: 1.3 / 1.2 (p = 0.534), FSC: 1.0 (0,60; 0.24. Ibihe. Ibiciro by'ikibazo byagaragaye mu matsinda yombi, kandi imyizerere yavuzwe. Uburyo bwa MCTR bwerekanye ibizagurika neza.
Igicunga cya karpal Tunnel (CTS) ni neuropathy1,2,3,3,5,5,6 hamwe n'ubwibone bwa CTS rusange.
Inkunga yo kuvura abaturage barimo gusebanya, itari irwanya ibiyobyabwenge, hamwe n'intwaro z'ubukonje za CortineTeroide n'ibiranga Ibiranga Uburyo3.Ubu inzira ituma ijisho ritaziguye, segisation yizewe ya retinaculum, nubushobozi bwo kumenya gutandukana kwa anatomique; Harimo ububabare bwa possoperative, sticutivite yinkovu, nibishoboka byo kubabara gukanda.Kwaranye ibishoboka byose, harateganijwe ko hashobora guterwa no kurekurwa kwa karubakwa. Hyperrtrophic
Intego yubu bushakashatsi kwari ugusuzuma igihe kirekire kuri ACCTR ishingiye kuri ANTR ishingiye kuri Anatom Retmarks14 nigice cya Acter na Ocr, dushaka ko umutekano usanzwe.
Abarwayi mirongo itanu bari mu maboko atagenzuwe hagati ya 1 Mutarama 2008 na 31 Ukuboza 2015 mu rwego rwo mu rwego rwa III. Ibisanzwe. Igihe ntarengwa cyo gukurikirana hagati yo kubagwa no gusura abarwayi ni imyaka itatu yo gusuzuma bwa nyuma.
Gusuzuma CTS bishingiye ku buryo bwo kuboneka no / cyangwa intege nke mu gace katanzwe na Median
Ibipimo ngenderwaho byo gukwirakwiza harimo ibimenyetso byaho cyangwa sisitemu ya anatomique, imiterere ya anatomique, imitsi cyangwa ibimenyetso byoroheje kandi bibazwe.
Porotokole isanzwe yakoreshejwe mumatsinda yombi Gufunga byakorewe hamwe na NonSombweble 5.0 Sulure {Polyamide, Ethinh, Johnson Woversh GmbH, Nog, Ubudage} Kubikomeretsa Gauze Swab yakoreshejwe nk'umuzingo wa Padi nyuma yo kurambura agaciro gake {Lehmann & Rauscher Floself, mu Budage kwambara ikurwaho, barimo kugenzura imiti, byakozwe na Umuganga ubaga amasaha 24 .Nuko, abapadiri {cosmopor, hartMemn ag, muri heidenn ag, mu Budage hashyizweho imikorere imaze ibyumweru bibiri nyuma yo gutambuka.
Kuri Tekinike ya Octr, hashyizweho cm ya cm 3,5 kandi ihagarika 0,5 cm ya kure. Amahugurwa ya kamere ya Trans
Ku itsinda rya mctr, inzira zombi za styloid zari zahujwe kandi zihujwe n'umurongo utambitse ukoresheje ikaramu ya Mesh ya mbere ya Mesh ya Palmalic
Ibikurikira, shushanya imirongo iragabanuka kuruhande rwintoki
Igishushanyo cyerekana uruhu rwa MCTR nakarere ka nyaburanga byerekana agace ka mctr hamwe numurongo wubururu ugaragaza urwego rwimiterere ya stritudinal. Umurongo wicyatsi ugaragaza urwego rwimpeta byasobanuwe.mctr mini gufungura karpal tunner, ocr ifungura karpal tunnel.
. Gufunga micro-fungura ifunguye-outagira cm ya 1-1.5.
Hashyizweho imisozi miremake ya CM 1-15, muri buri kibazo cyatanzwe na Ulna binyuze muri Ubworozi bwa Marna. Nyuma yishami rya DOLPORTNEL, .Itsinda rya Aponeuro yashushanyije kandi irinzwe (reba ishusho ya 4).
Sisitemu Igikoresho cya Mctr: Igizwe n'ibice bibiri: A. icyuma kidasanzwe, B. Ikigo gishinzwe kurwanya gari ya moshi. {Umurinda gari ya moshi. Art.-Nva. 08-0001 na 08-0003, Kubuzima Kubuzima Bwiza, USA}. "Her" 28147 SA, Ubudage} D. Umucuruzi wa Fen, E. Mini Suction Tube, F. Umubu w'ibimuga. {Mediconos Eg, art.-No. 20.50.05, mu Budage; Ubuvuzi mpuzamahanga GmbH, ART.-Nva. 770 (107867), mu Budage; Mediconon eg, art.-Nva. 15.45.12, Ubudage} .mctr mini gufungura karpal tunnel.
Amafoto yimibereho ya Mctr: Ingingo yo gusohoka ya Meide Meint Estar igaragara neza mumurima wakazi. Helpar Archial Arteur irarinzwe kandi igaragara muburyo bwo gucamo ibice no mu cyerekezo cyacitsemo ibice. {Medicono 20 Gicurasi 2005, Ubudage} .mctr mini gufungura karpal tunnel.
Gusimburana kwambere mugice cya kure cyintangiriro ya kamere ya transsese yakozwe mubyerekezo bitaziguye hamwe na scalpel yo kurinda karpal isigaye.Umurongo wihariye guhinduranya karpal ligamene byagezweho (reba Imibare 3, 5, na 6).
Ifoto idahwitse ya Mctr: Igitabo cyo kurinda cyinjijwe mu rwego rwo kurinda imitsi ya median.dée, yakoreshejwe retractor ebyiri. {Umurinda Loni Carpal Tunnel 08-0001, Ihuza ryubuzima bwa Cogramesi, muri Amerika; Mediconon eg, art.-Nva. Gicurasi 20, 2005, ikintu No.20.12.20, Ubudage} .Mctr mini gufungura karpal tunnel.
Ifoto idahwitse ya Mctr: Kurekura Limeral ya kamere ya transsesed.Imitsi ya median irashobora kugaragara kugirango irekurwe neza. {Mediconor eg, art.-No. Gicurasi 20, 2005, ingingo. No.20.
Gusubizwa inyuma byasuzumwe amakuru yakusanyirijwe muri data base y'ibitaro byihariye ibitaro.
Abarwayi bakurikiranwe ibyumweru bibiri nyuma yo kubaga.ukurikiranye gukurikiranwa nagasuzumwa no kubaga (MP cyangwa AK). Hano, kubaho, kuba umuntu wanduye hamwe nigipimo gihuye na Analog (VAS) cyasuzumwe.
Gukurikirana kwa nyuma byakozwe nubumuga bubiri buhatira (nka gh) kugirango bahindure inyandiko nibimenyetso hamwe nibihe byanyuma. na / cyangwa inkingi ububabare kurubuga rwo kubaga. Isuzuma ryinshinga ryinkovu ryasobanuwe nkibintu bitameze neza mukarere kamwe cyangwa cyangwa ububabare bukabije bwo gukoresha intoki, nka Gutsindira ibizamini.DUTION, ububabare bwa tottr yageragejwe icyarimwe bubuza icyo gihe kandi hypothenari, nkaho butandukanya umuyoboro wa karpal.
Igihe cyo kubaga cyo Gusubizwa no gusubira ku kazi (ukuyemo abasebya) byasobanuwe nk'igihe kiba cari. Gusubiramo nyuma yigihe cyubutabazi bwigihe gito. Byongeye kandi ibipimo ngenderwaho nigihe gito kuva kubaga bwa mbere kugeza kubisubiramo (niba bishoboka) byasuzumwe.
Isesengura ryibarurishamibare ryakozwe ukoresheje software ya Spss {IBM SPSCIcarication verisiyo 26, Armom, ibipimo ngenderwaho bigaragarira, imibare isanzwe (sD) ikoreshwa ryibisobanuro bya demokarasi; Impinduka zikomeza ziravuga muri SD na / cyangwa kumanota ntarengwa kandi ntarengwa.
Ibizamini bidakoreshwa byakoreshejwe mugusesengura amakuru kubisobanuro ya 0.05, ingano yintangarugero ya 0.88 yabazwe hashingiwe ku kizamini gifite ubupfura bibiri19.
Ibyemezo byemejwe n'inama y'isuzuma ry'inzego z'akarere ka Oririshiya (Auva-Ek 03/2019). Nyuma, abarwayi barebye itegeko n'amahame yo gutangaza hakurikijwe ibiganiro n'amahame yo gutangaza na ITH-GCP umurongo ngenderwaho.
Itsinda rya MCTR ryari rigizwe nabagore 72% (36/50) na 28% (14/50) imyaka 4. 2.20; .
Mu itsinda rya ocr, 74% (37/50) bari abagore na 26% (13/50) ni imyaka 3.0.62%: 3-8; amezi (gutandukana bisanzwe: 1.8; intera: 4-12) .Ibisobanuro byanyuma bikurikiranye mumatsinda 5/9: 24.3; intera: 37-101).
Hariho itandukaniro rikomeye rifite hagati yigihe cyo kubaga (P = 0.001), ariko ntabwo hagati yimyaka (p = 0.621) no gukurikirana igihe (P = 0.623).
Ibyumweru bibiri nyuma yo kubagwa, nta bitekerezo bibi, itsinda rya mctr, stiritivite yinkovu yasuzumwe abarwayi 13 (mct: 3% 0-8) .Ku matsinda yombi akurikiranwa hakiri kare, kwiyumvisha inkovu byagabanutse cyane nyuma ya Mctr (MctR: 6%; p = 0,002).
Nta tandukaniro rikomeye rifite imibare iri mu manota yo gusuzuma hagati y'amatsinda (reba Imbonerahamwe 1).
Ibikorwa bibi byabitswe byerekanwe mu mbonerahamwe 3.Ntabwo yagaragaye mu itsinda ryabandi. Igipimo cyo gusubiramo cyari icyumweru 2 cyo kubagwa.
Mu itsinda ryose, nta I Natrogenic Vascular, Ishami rishinzwe imitsi, ibikomere bya mandon byafashwe byemejwe mu itsinda ryaho, rikurikirwa na tekinike ya actr, rikurikirwa na tekinike y'ijwi ryakozwe kandi ryemejwe neza kandi ryemejwe na Vonerograpra. igipimo cyari 4% (4/100 muri rusange cyangwa 2/50 muri buri tsinda).
Intego yubu bushakashatsi kwari ugusuzuma igihe kirekire kuri CTR idahuye na CTR yigihe gito no kugereranya ibisubizo byimibare. Nta tandukaniro ryayo rifite uburangare
Irangi20 isobanura igikoresho cya mbere mu 1955 cyakoreshejwe nk'indakandari ya Cuts. 21. Abanditsi21 barebye ibizavamo igihe gito Ubushakashatsi buriho3,24 mugihe kirekire nyuma ya Mctr.
Bai Et Al2 yakoze isesengura ryakuweho amakuru akusanyijweho amakuru ya 85 yari afite imyaka 6.6 (MCTR), amezi 4.4). AKARERE Amatsinda (P = 0.130) (MCTR: Iminota 25.1; 5,50 4.7% mumatsinda ya ocr, mugihe nta barwayi bahuye nububabare nyuma ya mctr (p = 0.490)
Aslani et al25 yagabanije icyitegererezo cyabarwayi 105 mumatsinda atatu (MCTR, HANZE KUGARAGAZA NUBUNTU BUKURIKIRA CTR). Iminsi; OctR: Hagati iminsi 20;
Zhang et al23 yasesenguwe n'abarwayi 207 bakubiswe n'ibice bibiri bito (n = n = 73), na endoscopic igihe cyacu (n = amezi 4.4), amezi 4.4. Itandukaniro hagati ya Mctr na Octri mubyavuye muri Bospal Typal Syndrome ikibazo cya Bospene.Hari, bisobanura SSS na FSC kumatsinda yombi. Indangagaciro zirasa nibisubizo byacu.
Gusubiramo imitsi bibaho bibaho munsi ya 2% kugeza 25% 26% 26, 28, 30, 31 kandi birashobora kuba hashize inama yo kwisubiraho mu bitabo bishobora gusobanura kurenga ku masomo. Abanditsi b'abantu basobanura kwisubiraho mu bimenyetso byose Kubwo gusubirwamo27 gufatwa nka Vensenrence.C24 byatangaje ko umubare munini w'ingorabahizi hamwe n'abarwayi mu matsinda ya kabiri nyuma ya Mctr. Ocr: amezi 54) .Ibi zishobora gukurikiranwa mugihe gito cyo gukurikirana intera no kubogama mubibazo byagarutse na cresswell et al24, bishobora kutagaragaza cohort yose.
Ibipimo bisanzwe kandi byingenzi kuri compression ya repression birashobora kuvamo kugabana bituzuye kandi / cyangwa gusezerana kwa fibrosive330 CT ntabwo bishoboka nyuma yishami rihagije ryibintu byahinduye byinshi.Ibyongeyeho, ibintu bike bifatika byagaragaye mumatsinda yombi. Kureba ibyemezo byiza kandi wemerere imyanzuro MCTR yerekana uburyo bwizewe kuri CTR.
Indi nyungu ya tekiniki yerekana amashusho ataziguye ishami rya hanyuma ishami rya Median.in Abarwayi.lee na Strickland17 babonye ibikomere bibiri bya median imitsi muri 694 bakoresheje amatsinda akomeye kandi bafite uburambe bwo kwitegereza.
Ubu bushakashatsi bufite aho bugarukira Ibintu ntabwo byakemuwe mubyigisho byose. Muburyo, nta suzuma ryakozwe kubyerekeranye nibiciro byibikoresho cyangwa kubikoresho byakorewe kubaga cyangwa ingaruka zimari zimiterere idasanzwe.
Nkuko imbaraga zubu bushakashatsi nigihe kirekire cyemeza tekinike yo kubaga, twakoresheje abarwayi bahuye hamwe nubushake bumwe bwo kubaga bugaragaza ubwo buryo bworoshye. Imitsi ya Median hamwe nuburyo bwa palmar arling.
Mu gusoza tekinike, tekinike yashizweho kandi yatoranijwe binyuze muburyo bw'imirire yagaragaye ko ari byiza. Abarwayi bahuye na MctR bireba ibishoboka byose, kandi igipimo cyo kubaga gisanzwe.
Ukoresheje tekinike twasobanuye, nta barwayi bagabana cyangwa barwaye ububabare bwateganijwe. Inzego za nyirubwite.thus, mctr ni umuntu wihuse, ufatika, muto, muto, kandi utunganije muburyo butunguranye bwa tekiniki yemerera isuzuma ritaziguye igaragara rya anatomiya.
Anbarasan, A., TheVarajah, N. & SadgaTullah, A. Ibisubizo byimikorere ya Mini Carpal Tunnel Kurekura.j. Kumurongo wa microsurry.rev. 09, 006-010 (2017).
Bai, J. et Al.ibikoresho byo gusohora Al.spal byari ubushakashatsi bwikinyomo c'ikirere bukoresheje uburyo bushya bwo gutegamo uduce duto ugereranije n'uburyo gakondo.Ibitekerezo.j. Kubaga Ikinyamakuru.52, 105-109 (2018).
Kim, P.-t., Lee, H.-J., Kim, T.-g. & Jeon, I.-h. Ubuvuzi bugezweho kuri Syndrome ya Carpal Tunnel.Clical.Ibinyamakuru.Ubunyamakuru.6, 253 (2014).
Logli, al, Bear, Bch, Schwartz, Eg, Korcek, KJ & foster, BJ Prospective Ibigeragezo byateganijwe nyuma yo kurekura umuyoboro muto .j. Kubaga intoki.43 (775), E1-775.E8 (2018).
Igihe cyohereza: Jun-07-2022