Ndatenda nekushanya kwechisiko
Takatsvaga kuongorora mhedzisiro yeatatomical landmark (SSS), inoshanda mamiriro (FSC), uye kusarudzika kweAnalog Sacomputer 0.398), SSS: 1.3 / 1.2 (p = 0.534), 1,3 / 0,246). . Wafere-tsika dzakataurwa mumapoka ese maviri, uye dzidziso dzakanyorwa.
Carpal tunnel syndrome
Conservative kurapwa Algorithms inosanganisira splinting, is steroidal zvinodhaka zvinodhaka3, uye maEkisheni Carpal Tunnels Maitiro aya maitiro aya anogonesa kutaridzika kwakananga, akavimbika kubatana kweiyo flexor retinacaculum, uye kugona kuziva misiyano yemhando; Izvo zvinosanganisira postoperative marwunini kurwadziwa, fundo kunzwa, uye mukana wekuti unokundwa nemanomano madiki ezvinyorwa Hypertrophic kukuvara), uye bvumira zvekare kudzokera kubasa uye zviitiko zvezuva nezuva
Chinangwa cheichi chidzidzo chaive chekuongorora kutevera kwenguva refu kwakavakirwa paMCTM kubva kuAnatomical Landmarks10 uyezve, isu takatsvaga kuti MCTR yaive yakanyanya kujairika maitiro ekugutsikana kwemurwere uye kupora kwemurwere.
Varwere makumi mashanu avo vaive neanorwara muNdinggone Mktr pakati paJanuary 1, 2008 naDecember 31, 2015 muboka reMCTR Nguva shoma yekutevera-kumusoro pakati pekushanya kwekuvhiyiwa uye nemurwere yaive makore matatu ekudzoreredzwa kwekupedzisira.
Kuongororwa kweCTS kwakavakirwa pane kuvapo kwepfungwa uye / kana kushaya simba munharaunda yedare
Chiitiko chekunze chakabatanidza zviratidzo zvekuzvidzwa kwenzvimbo kana systemic kuremara, zvakarukwa zvechiratidzo, polyeuro ndechechivande, kuputa, kana rheumatoid arthritis haina kunze.
Yakagadziriswa protocols yakashandiswa mumapoka e.ECH BUTLECY INSECATE NEMUFANANIDZO YEMAHARA zuva.Kuuya kuvharwa kwacho kwakaitwa neisirike 5.0 suture {pute Gauze Swab yakashandiswa sePad Roll mushure mekutambanudza mwero bandage {Lenkelast, Lohmann & Germany} kusunungura Kubvisa kuRuble Postoperatily.Ipapo, kuraswa, Hartmann AG, German] akaiswa.Bongo remahara ekutanga kwemavhiki maviri.
Kune iyo Octr maitiro, iyo CM Longitudinal incision inoitwa propar crease.5 CM
Kune iyo MCTR Boka, nzira dzechinyakare dzakarongedzwa uye dzakabatana nemutsara wakatarwa.
Tevere, dhonza vertical Longitudinal mitsara pane radial Lif yemunwe.
Schematic anomiririra yeganda incision yeMCTR uye matunhu ebhuruu anomiririra nzvimbo yeganda yeOctr Al.14
. Kuvhara kwehuremu kune micro-yakavhurika yekuvhiya-inowedzera kupfuura 1-1.5 cm-cm-uye yayo chinzvimbo sezvakaratidzwa.mtr mini yakavhurika Carnel burnel kusunungurwa.
A 1-1,5 cm Palmar incisional fashoni, mune imwe nyaya kubva kuUlna (Ona Mufananidzo 4).
Rwiyo rweMCTR: Iyo ine zvikamu zviviri: A. Special cutting banga, B. Kuchengetedza Njanji Rail. 08-0001 uye 08-0003, Inggra lifesecience Corporation, USA} 28147 Sa, Germon} D. Samomon Resterris, E. Mini Suction Tube, F. Somerquito Forceps. 20.50.05, Germany; Medicyoplast International GmbH, Art.-no. 770 (107867), Germany; Medicon eg, art.-no. 1545.12, Germany}
Instraoperative mifananidzo yeMCT: Iyo yekubuda kwepakati nervehl buda inoonekwa zvakakwana mumunda wekushandisa. 20 Chivabvu 2005, Germany}
Iyo yekutanga incision chikamu cheiyo Distal Carment Ligament yakagadzirwa neProcapy Blacer {Dahlhausen Lignament inowanikwa (ona mifananidzo 3, 5, uye 6).
Mufananidzo weMCTR: Nhungamiro yekudzivirira yakaiswa kuchengetedza iyo yepakati nerve.Ingadzika, miviri yekudzoreredzwa kwakazotanga uye imwe yerukodzi mini carpal burnner system, art. 08-0001, Inggra Lifescience Corporation, USA; Medicon eg, art.-no. Chivabvu 20, 2005, Item N.Mumwe-010.12.20, Germany}
Mufananidzo weMCTR: Kuburitswa kweSturity Carpende Lirth Chivabvu 20, 2005, art. Nha .20.12.20, Germany}
Kurovedzwa kuongororwa data kwakaunganidzwa muchimiro chechipatara chechipatara chinosanganisira chechiitiko, zvepabonde, nguva dzekuvhiya, uye zviratidzo zvekuvhiya zvakanyorwa kubva kumafaira anoremekedzwa emurwere.
Varwere vakateverwa mavhiki maviri mushure mekuvhiyiwa nemapepa ekuvhiya kwakaongororwa neyekuvhiya kurapa (MP) .Hazvipi zvevarwi zvekupokana uye kushungurudzika kweAnalog (Vas) yakaongororwa.
Yekupedzisira Yekutevera yakaitwa neVaranda Vaviri Vanachiremba (AS uye GH) kunyora nguva yekupedzisira, uye / kana kurwiswa kwemakona kune yekuvhiya svutugadzike Kuchenesa..Rus kuongororwa, kurwadziwa kwetrumende kwakaedzwa nekunyongana nekunyora kosi uye hypothenar maoni, sekunge achipatsanura iyo carpal tunaki.
Nguva yekuvhiya kuti ishandise uye kudzokera kubasa Kudzokorora mushure menguva yekuzorora kwechinguva
Statistical Ongororo yakaitwa uchishandisa Spss Sports {ibm Spss Statistics Shanduro 26 kuenderera mberi kusiyana kweshanduko kuchapfupikiswa uchishandisa SD uye / kana neyenzi dzepashoma uye huwandu hwakanyanya.
Nonparetric bvunzo dzaiongororwa kuti dzokorora data rekukosha. ye0.05, saizi yemuenzaniso ye 0.88 yakaverengerwa zvichienderana neyakaongororwa kaviri-tailance bvunzo19.
Kubvumidzwa kwetsika kwakapihwa neSistutional Ongororo yeBhodhi reAustria Vashandi veAustria '.
Boka reMCTR rakanga riri re72% vakadzi (36/50) uye 28% (14/0) (SD: 2.7; Range: 6-18)
MuOctr Group, 74% (37/50) vaive vakadzi uye 26% (13/0) yemakore ekuvhiya .62 ( 5.4 Mwedzi (yakajairika kutsauka: 1.8; range: 4-12)
Pakanga paine musiyano wakakosha pakati pekuvhiya (p = 0.001), asi kwete pakati pemapoka maererano nezera (P = 0.621) uye tevera nguva (P = 0.623).
Vhiki mbiri mushure mekuvhiya, pakanga pasina chekuita neboka reMCTR 0-8)
Pakanga pasina mutsauko wakakosha mukuongorora pakati pemapoka (ona Tafura 1).
Zviitiko zvenguva pfupi zvinoratidzwa muTafura
Muboka rese, hapana iatrogenic vascular, nerve, kana kukuvara kwekukuvara kwerudzi rwekusimbisa kweMclen chiyero chakafanana chaive 4% (4/100 mune yakazara kana 2/50 muboka rimwe nerimwe).
Chinangwa chekudzidza ichi chaive chekuongorora kutevedzera kwenguva refu kwekutevera kwekusangana kweCTR uye kuenzanisa zvakakura zvekupunzika mushure meMCTR pakutanga (p =
Pae20 inotsanangura chishandiso chekutanga muna 1955 inoshandiswa sebhandi rekutsigira cutter.this mudziyo washandiswa kusvikira zvino, zvichangobva kutaurwa naFernandes et al. . Zvinyorwa.Izvi zvishoma zviripo zvezvidzidzo zve23,24 pane refu-rombo rabuda mushure meMCTR.
Bai et al2 akaita ongororo yekudzokorora yedata yakaunganidzwa inosanganisira varwere vane makore makumi masere nemasere. mapoka maviri (p = 0.130) (MCTR: MCL: 4.5 Maminitsi, P = 0.3,308). 4.7% mune yeUDR GROUP, IYO HAPANA VAKAWANDA VANODA KUTI VANYANYA PASI PEST (p = 0.490).
Aslani et al22 yakakamurwa sampuro yegumi neshanu kuita matatu subgroups mazuva; octr: zvinoreva mazuva makumi maviri; p = 0.142) Kutangazve basa, izvi zvinogona kufungwa sekubatsira kwemutengo wakanaka.
Zhang et Al23 Vakaongorora varwere 207 vakasarudzika kuburikidza nezviitiko zviviri zvidiki (n = makumi manomwe neshanu (N = 65). Musiyano wakakosha pakati peMCTR uye Octr mune zvabuda zveBoston Carpal Syndnel Syndnela Repenter.
Kudzokorora nerve compeswa kunoitika mune isingasviki 2% kusvika kumusoro kwezviitiko zvekupembera. Reoperation27 kuti uongororwe nekudzokorora.Cresswell et al24 yerudzi rwepamoyo mushure memakore matatu. Mwedzi makumi mashanu neshanu)
Chinyorwa chakajairika uye chikuru cheNve nerve compreskupatsanuka chesimba Hazvina basa mushure mekuparadzaniswa kwakaringana kweiyo ligmende inoonekwa mumapoka ese.
Imwe nzira yehunyanzvi inomiririra kutaridzika kwakananga kwebazi reiyo pakati peMedhiya yekuburitswa nemurwere. Murwere
Iyi fundo ine macomputer akati wandei. Kurapa. Izvi hazvina kugadziriswa mukufunda.
SEZVINOGONESESA IYI YAKAITWA IYO YEMAHARA.TENGETER SPONTUCAL TECHNICASE, DZINOGONESESA ZVAKAITWA ZVAKANAKA ZVAKAITWA ZVEKUSVIRA NECHEMA JOTAR Bazi reMedhiya nerve uye nzira yepamusoro yemilm
Mukupedzisa, kwedu kwakakurudzirwa uye kwakasarudzika mcnti
Kushandisa maitiro atakatsanangura, hapana varwere vachidzangazve kana kutambudzika nekureba kwekupora kwekupora nekukurumidza. Zvimiro zvakatwasanuka zveMuridzi. UNGU kukurumidza, zvinoshanda, zvisingaite, uye zvishoma zvine hunyanzvi maitiro anobvumidza kutaridzika kwakananga kweinatomy.
Anbarasan, A., TheVarauja, N. & Sadagatulah, A. Inoshanda Zviitiko zveMini Carpal Tunnel Sble.j. Ruoko Mumburitsurger.rev. 08, 006-010 (2017).
Bai, J. Et Al.carpal Butri kuburitswa kwaive kwekutenderera yekudzidza uchishandisa maitiro madiki madiki kana achienzaniswa nemaitiro ezvinyorwa. Kuvhiya magazini.52, 105-109 (2018).
Kim, p.-t., Lee, H.-j., Kim, T.M & Jeon, I.-h. Zvazvino kurapwa kweCarpal tunnel syndrome.clinal.orthopecs.surgery Journal.6, 253 (2014).
Logli, Al, Bear, Bj, Schwartz, eg, Korcek, KJ & KJ & BJ ANOGONESESESA ZVINOGONESESWA PAMUSORO PAMUSORO PENYAYA DZESVONDO DZESVONDO DZESVONDO REMAHARA. Ruoko Surgery.43 (775), E1-775.e8 (2018).
Post Nguva: Jun-07-2022