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Sifuna ukuvavanya iziphumo zohlobo lwe-anatomical of Shindmatory ovulekileyo (i-MCTR) yendlela ye-palmar kwaye ithelekiswa nezigulo eziqhelekileyo (N = 50 i-Actr) equkethwe yingalo (i-Actr) ikwane-scan, i-goct yesandla (i-DASH), isikali sokukhubazeka kwezandla . I-0.398), i-SSS: 1.3 / 1.2 (P = 0.534), i-FSC: 1.3 / 1.2 (P = 0/50 vs. kunye namaxesha enkqubo. Amaxabiso okufumana amandla aqwalaselwa kuwo omabini amaqela, kunye nokuphindaphinda kwakhona kurekhodiwe.
I-Carpal Tunnels Syndrome (cts) yeyona i-neuropathy1,2,3,4,4,4,4,4,4% ye-CTS eyahlukileyo ye-CTS isetyenziswa ngokwemibandela ethile ye-CTS.
I-algoriths yonyango lonyango kubandakanya i-rislin anti-inaliti, kunye nenaliti ye-corticosterid ixhaswe emva konyango lwe-consel-tun tun (CTREAL TORTAL) inyanzelekile. Indlela yokufumana ulwazi ngokuthe ngqo, isahlulo esinokuthenjwa se-posinaculum, kunye nokukwazi ukubona ukwahluka kwe-Aatomical; Ibandakanya inxeba lenxeba elisengozini, kunye nokuba kungenzeka ukuba kubekho iintlungu ze-strut. I-Hypertrophic Hardring), kwaye vumela kwangoko ukubuyela emsebenzini kunye nemisebenzi yokuphila kwemihla ngemihla5,10,12.ukwenza umngcipheko we-propal ye-funsor kunye ne-vascular ye-binsor ye-funsor ye-funsor.
Injongo yolu phando yayikukuvavanya ukulandelwa kwexesha elide kwi-MCTRE ye-Aatomicals yoMhlaba-ndawonye kwaye kuthelekiswa ne-Actr kunye ne-Oct, sifuna ukufumanisa ukuba i-Mctr iqaqanjelwe ngokubhekisele kukwaneliseka ngesigulana kunye nokubuyela kwimeko yesiqhelo.
Izigulana ezingamashumi amahlanu ezazisenziwa i-Mctr phakathi kwe-1 kaJanuwari, ngo-2008 kwiZiko lethu le-III le-III. I-Polly.IXESHA LOKUGQIBELA LOKUGQIBELA LWEZOBUCHULE BOKUHLAZIYWA KOMNYANGO KUNYE NOKUTHANDA KWENYA Iminyaka emithathu yokuphononongwa kwakhona.
Ukuxilongwa kwe-CTS kusekwe kubukho bento yokuphazamiseka kwemvakalelo kunye / okanye ubuthathaka kwindawo ephakathi kunye nembali eyahlukileyo ye-MG iqinisekisa unyango lwe-neropathy.
Ikhrayitheriya ezikhutshelweyo zibandakanya iimpawu zokupheliswa kwengingqi okanye inkqubo ye-anatomic, i-nervees enesiphene, i-protory cutes, i-uplyneuroparal cutes, i-uplyneuropathy, okanye iRheumaid Arthritis ayifakwanga.
Iiprothokholi ezisemgangathweni zasetyenziswa kuwo omabini amaqela. yenziwa kunye nokungafundiswanga kwe-5.0 suture {Polyamide, i-Etilon i-668h, i-johnson kunye ne-johnson kunye ne-johnch {i-johnch {i-johnch} i-Galuze igqunywe ngu-Leukis I-Gauze Swab yayisetyenziswa njengokuqengqeleka kwe-pad emva kwebhanti eliphakathi elimoliweyo Ugqirha we-24 iiyure zepottoperaperaperaperaper
Kwindlela ye-Octr, i-3.5 cm i-desticudion yenziwa i-proximal crease ye-plmar kwaye iyeke i-0.5 cm i-rive scimes, isebe le-carcal ye-carcal ye-merian ye-merian ibonisiwe, kwaye i-ligament yenziwa kwi-proxim.
Kwiqela le-MTTR, zombini iinkqubo ze-staid zangenisa kwaye ziqhagamshelwe kumgca othe tyaba ngokusebenzisa ipeni.I-Kapan Base.I-Inforline yaseKaplan.
Okulandelayo, zoba imigca emide emiselweyo kwicala le-radial yomnwe womnwe.
Ukumelwa kwesikimo solusu lwe-MCTR kunye nezobuchule zombini: Indawo yeBlue Coace imele indawo ye-SOCTR kunye ne-Blue Rine ibonisa indawo ephezulu ye-cyloid ye-cutedger e-hohember et al.14 ibikhona Icacisiwe.Mctr Mini Vula i-Carpal Turpal Tunnel Runner, Octr Vula i-Carpal Turpal Turpr.
. Utyando oluvulekileyo-oluvulekileyo akukho ngaphezulu kwe-1-1.5 cm kunye nokuma kwayo njengoko kubonisiwe.Mctr Mini Vula ukhuphelo lwe-carpal ye-carpal.
I-1-1.5 cm ye-CM Smalmar yenziwa kwifashoni ye-proximal, kwityala ngalinye ukusuka kwi-Ulna ngokusebenzisa i-Apor Crease.etter i-Hougursis's Apper's Artimator (jonga i-Arch yesebe leSuperficialial kunye nesebe lezelo I-nerve ye-Median ikhutshiwe kwaye ikhuselwe (jonga umfanekiso 4).
Inkqubo yesixhobo ye-MCTR: Inamacandelo amabini: A. Isitshixo esikhethekileyo, b. Isikhokelo sokukhusela uloliwe. I-08-0001 kunye ne-08-0003, ukudityaniswa kweNkululeko yeSiseko se-USA, i-USA}. 28147 SA, iJamani} D. Isalatisi seFona, E. 20.50.05, IJamani; I-Medioplast GBHH, ART.MO. I-770 (107867), iJamani; I-Medion, umzekelo, Art.ene. 15.45.12, Germany} .mbcr mini evulekileyo ye-carpal tunnel.
Imifanekiso ye-intraoperative ye-MCTR: Indawo yokuphuma ye-median nerve ye-nerve ye-merve ibonakala ngokupheleleyo kwicandelo le-PROAR.I-ORTAL ARTERAL ARTART ikhuselwe kwaye ibonakale kwi-skroxial arch. Ngomhla wama-20 Meyi 2005, iJamani}
Isimo sokuqala kwinxalenye ye-distal ligament yenziwa phantsi kombono ocacileyo kunye ne-15 ye-Scalpel kwaye i-Dahlhausen & Co.cial}. I-CHEHNTER, faka isisikithi esikhethekileyo siye sadlula kwi-proxim kwaye idlule kwi-progim I-ligament ye-carpal eseleyo iphunyezwa (jonga amanani 3, 5, kunye ne-6).
I-intraoperative umfanekiso we-MTTR: Isikhokelo esikhuselayo sifakiwe ukukhusela ukuvezwa kwe-nearch ye-nerve. I-08-0001, iquntelo lokukhuthaza iZiko eliNikali, i-USA; I-Medion, umzekelo, Art.ene. Nge-20 kaMeyi 2005, into yeNo.20.12.20, iJamani}
I-Intraoperative umfanekiso we-MCTR: Ukukhutshwa kwe-Carpal ye-Carpal ye-Carpal ifezekisiwe.I-nerve ye-Median ibonwa ukuqinisekisa ukukhululwa okugcweleyo. Meyi 20, 2005, ubugcisa. No.20.12.20, Germany} .mbcr mini evulekileyo ye-carpal tunnel tunnel tunnel tunnel imvume yokukhutshwa kwe-carpal tunnel.
Idatha ehlolwayo kwakhona iqokelelweyo iqokelelwe ngokukuko kwizibhengezo ezikhethekileyo zesibhedlele ezibandakanya ubudala, isini, icala elichaphazelekayo, ixesha lotyando, kwaye iimpawu zokuqala zarekhodwa kwiifayile ezinesigulana.
Izigulana zaye zalandelwa kwiiveki ezimbini emva kotyando.eindlela ezazivavanywa ngonyango (i-MP okanye i-AK).
Ukulandelwa kokugqibela kwenziwa ngoogqirha olwenziwe ziindlela ezimbini (njenge-GH) ukuya kuxwebhu kwiimpawu kunye / okanye i-SCS elandelelayo (i-SSS, i-DSSC) kunye ne-FOSC). Ikholamu yendawo yokurhoxisa.Uvavanyo lweemvakalelo ezityhefu zachazwa ngolu hlobo lulandelayo: Intlungu yavavanywa ngaxeshanye icinezela i-calaar kunye ne-hypothenar ediniser, ngokungathi ukwahlula umjelo we-carpal.
Ixesha elivela kumbandela ukubuyisela kwaye sibuyele kwindawo yomsebenzi (ngaphandle kwendawo yokufumana umhlala-phantsi. Emva kwexesha lokuphumla okwethutyana.n, amaxabiso okuhlaziya kunye nezizathu kunye nexesha lokuphumla ukusuka kwixesha lokutya okokuqala ukuya kugqirha wokuhlaziya (ukuba kuyasebenza) kwavavanywa.
Uhlalutyo lweenkcukacha-manani lwenziwa usebenzisa isoftware ye-SPSS Izinto eziguqukayo eziqhubekayo zishwankathelwe usebenzisa i-SD kunye / okanye ngamanqanaba amancinci kunye namaxabiso aphezulu.
Iimvavanyo zika-Noparametric zasetyenziselwa uhlalutyo lwedatha ngokubaluleka.Ukuphanda umahluko phakathi kwe-MTTR kunye / okanye i-Actr Presivation isetyenzisiwe. I-0.05, ubungakanani besampulu ye-0.88 babalwa ngokusekwe kuvavanyo lweTaid19.
Imvume yokuziphatha yavunywa yiBhodi yeMbuyekezo yeziKhngusithi yeAustrian abasebenzi (i-AUva-Ek 03/20).
Iqela le-MCTR liqukethe i-72% yabasetyhini (i-36/50) ne-28% (14/50) ikwiminyaka eyi-41.2). 2.7; Uluhlu: 6-18) .Uthetha ukulandela ukulandela iQela le-MCTR yinyanga ezingama-60 (SD: 23.1; Uluhlu: 36-10-108).
Kwiqela le-occr, i-74% (37/50) yayingabasetyhini kunye neepesenti ezingama-26/50 (13/50) bekukho izandla ze-59.0 (i-16/50) yexesha lokusebenza. Iinyanga ezi-5.4 (ukuphambuka komgangatho: 1.8; Uluhlu: 4-12) .Uthetha ukulandela iQela lokugqibela kwi-octr ye-oct yayiziinyanga ezingama-54 (SD: 24.3).
Kwakukho umahluko obalulekileyo wezinto ezithile phakathi kwexesha lotyando (P = 0.001), kodwa hayi phakathi kwamaqela ngokweminyaka (P = 0.621) kunye nexesha lokulandela (P = 0.623).
Iiveki ezimbini emva kotyando, kwakungekho kuphendula okuchaseneyo kweqela.in Iqela le-MTTR, i-SCTRE YINTONI: I-SD: 0: 0: 0.7; Uluhlu: 0-8) .Cemaries La maqela mabini alandelwa kwangoko, imvakalelo yesikere incitshisiwe kakhulu emva kwe-Mctr (i-MTTR: 13/50; i-6%;
Kwakungekho manqaku mabaluli abonakalayo kumanqaku ovavanyo phakathi kwamaqela (jonga kwiTheyibhile 1).
Iziganeko eziphezulu eziphezulu ziboniswe kwitheyibhile 3.Ophinda yaqwalaselwa kwiqela. Ixabiso lokuhlaziya laliyi-2% (i-1/50) kwiqela le-MCTR kunye ne-6.3 kwiiveki ezi-6.3 kwiqela le-OCTR (uluhlu: 3.5-9).
Kwiqela lonke, akukho hlaselo lwe-iatrogenic vascular, isebe le-nerve, okanye ukulimala kwe-telardial kwiqela le-MTTR liqinisekisiwe kwi-Postr Propering Propernerally kwaye iqinisekiswe yi-Proneod Ropern kunye ne-Electromographic.O Ixabiso lezona I-4% (4/100 iyonke okanye i-2/50 kwiqela ngalinye).
Injongo yolu phando yayikukuvavanya ukulandelwa kwexesha elide kwi-CTR engaphantsi kwe-frial kunye nokuthelekisa iziphumo zayo ngoqhaqho ngokufihlakeleyo phakathi kwe-Mctr ekuqaleni (P = 0.002) kunye nexesha elide (P = 0.007).
I-Paine20 ichaza isixhobo sokuqala ngo-1955 esisetyenziswa njengenkxaso ye-Belt Caltter.thi isetyenzisiwe kude kube ngoku, njengoko kuchaziwe nguFernandes et al. 21Abathunywa21 bajonga kwiziphumo ezimfutshane kunye nexesha elide kwaye baxela iziphumo ezithandekayo zeklinikhi kwizifundo ezingaphezulu kwe-17.Amanduls epeyintiweyo. Izifundo23,24 kwiziphumo zexesha elide emva kwe-MCTR.
UBai Et Al2 wenza uhlalutyo lokubuyisela kwimeko yesiqhelo ebandakanya izigulana ezingama-85 ezazineenyanga ezi-6.6 (i-MCTR). amaqela (P = 0.130) (i-Mctr: 25.1 imizuzu engama-23,5), imizuzu engama-9,2; i-D = 0 yayiyi-4,7% kwiqela le-occr, apho akukho zigulana zinamafutha enkunkuma emva kwe-Mctr (P =) .Ngoko ke, kwiziphumo zethu zexesha elide, kwi-0%) (P = 0.007).
I-Allani Et Al25 yahlulahlula isampulu yabo yezigulana ezi-105 ze-subgroups (i-Mctr, kunye ne-TOCTR (i-0.05) ijongene ne-Endoscopic CTR (i-0.05) .Sifumana ithuba eliphezulu kwiQela le-MTTR (i-MTTR: Ithetha iintsuku ezili-14; I-Oct: Ithetha iintsuku ezingama-20; p = 0.142). Isiseko sokuphinda-phinda umsebenzi ngaphambili, oku kunokuqwalaselwa njengesibonelelo sendleko ezintle.
I-Zhang et al23 ihlaziyiwe izigulana ezingama-207 ngokungena-nye izithuba ezibini ezincinci (n = 73) ukuya kwi-Mctr, i-Octr: Umahluko obalulekileyo phakathi kwe-MCTR kunye ne-Oct kwiZiphumo ze-Boston Carp ye-Carprome I-Syndrome I-Syndrome I-Syndrome Iphepha lemibuzo.
Ukunyanzelwa kwakhona kwe-nerve ephindaphindiweyo kwenzeka ngaphantsi kwe-2% ukuya kwi-25% ukuya kwi-30, 31, 31. Ukuvunywa kwakhona kwakhona I-Octr: Iinyanga ezingama-54) .Le inokuthi ibuyele kwithuba lethu elifutshane lokulandela kunye nokukhetha iphepha lemibuzo ebuyiselwe nguCresselell et al24, enokungabonisi iphela.
Isibonakaliso esiqhelekileyo nesona siqhelekileyo sokuphinda-phinda i-nerve yethambo le-nerve sinokukhokelela kwi-ligrosis engapheliyo ye-fibrosies ye-Prospy ye-Prospy I-Spernection ye-Wriphysents ye-Wrist ye-Wrist ye-Wrist ye-Wrist ye-Wrist ye-Wrist ye-Wrist ye-Wristy.Kilinc34 ibonise oko Ukuphinda-phinda i-CTS akunakwenzeka emva kokwahlulahlula i-LIGGY i-ligament ye-ligament ye-ligament.in yongezwa kuwo omabini amaqela.
Olunye uhlobo lobuchwephesha libonisa ukuboniswa ngokuthe ngqo kwesebe leze-daar le-median neatve.I-Itrogenic ye-Progimal Arder ye-Proximal ye-Proximal ye-Proximal ye-PROCRE kwi-APTR. I-53 Izigulana.Lee kwaye i-strickline17 yaqaphela ukulimala kwe-nerve ye-nearve kwi-694 ekwakhekileyo kusetyenziswa i-Connimen.Stations ebonakalayo, i-Median Neurosked ekuthandeni izigulana ezinomsindo.
Olu phononongo lunemida emininzi.buqwene kuphela nge-MACTR, ngaphandle kweQela le-Endoscopic. Izinto bezingaphendulwanga kuphando .Kintully, akukho uphononongo lwenziweyo malunga neendleko zezixhobo okanye ekwenzeki utyando olwenziweyo okanye ifuthe lezezimali lokuphatha.
Njengamandla esi sifundo lixesha elide. I-median nerve kunye ne-suplficicicicicicicicicicicicicicicicicial armar.ookhliselwe ngendlela yeempawu ze-anatomical eziqukethe imimandla yokhuseleko eyaziwayo kunye neendlela zokuvula ezincinci, njengoko kuboniswe yi-Hohenter et 14.
Ukuqukumbela, indlela yethu ye-MTTR ephakanyisiweyo neyithandayo neyithandayo iboniswe ukuba isebenze.Indlela ye-MTTR ifikelele kwiziphumo ezifanayo zexesha elide.
Ukusebenzisa ubuchwephesha esichazayo, akukho zigulana ezinokuphinda ziqwalaselwe kwintlungu ye-1-1.5 cm kunye nexesha eliyintloko. Ulwakhiwo lobunini
I-Anbarasan, A., i-Thevarajah, N. I-Sayagatullah, A. Iziphumo ze-Mini Carpal Tunnel Thun.J. Isandla se-microsurgery.rev. I-9, 006-010 (2017).
UBai, J. ET Al.Carpal Tunnel Ukukhutshwa kwesifundo se-cohort ngokusebenzisa i-cohort ye-cohort usebenzisa indlela entsha encinci ethengiswayo xa kuthelekiswa nendlela yesiqhelo.J. Unyango lwejenali.52, 105-109 (2018).
Kim, p.-t., Lee, H.-j., Kim, T. - Gaon, I. Unyango lwangoku lwe-carpal tunnel syndrome.clinical.Orthocinges.Surgery Jourjel.6, 253 (2014).
I-LOGLI, i-AL, ibhere, BJ, i-Schwartz, umz, i-korcek, kj kunye ne-five, i-funct, i-BJ ikhutshwe yi-spling tun.j. Utyando ngesandla.43 (775), E1-775.e8 (2018).
Ixesha lokuposa: Jun-07-2022