發(fā)布時(shí)間：2018-07-23 21:10

【摘要】：目的報(bào)道手掌側(cè)單孔入路微創(chuàng)治療腕管綜合征的解剖入路及手術(shù)方法,為手掌側(cè)入路微創(chuàng)治療腕管綜合征手術(shù)提供解剖學(xué)基礎(chǔ)。方法選取16例新鮮成人上肢標(biāo)本,解剖觀測腕管及手掌的相關(guān)解剖結(jié)構(gòu)。選取6例新鮮成人上肢標(biāo)本進(jìn)行模擬手術(shù),鏡視下切開屈肌支持帶并進(jìn)行神經(jīng)外膜松解。結(jié)果手術(shù)入路點(diǎn)為拇指呈最大外展位,沿掌指關(guān)節(jié)尺側(cè)取一平行線,與中、環(huán)指間的長軸線交叉點(diǎn)處向尺側(cè)1cm處,操作層面為淺筋膜層與掌腱膜間的腔隙。結(jié)論手掌側(cè)單孔入路微創(chuàng)治療腕管綜合征是安全可行的,在鏡視下可徹底切開屈肌支持帶并進(jìn)行神經(jīng)外膜松解,有利于術(shù)者進(jìn)行操作及減輕術(shù)中損傷。
[Abstract]:Objective to report the anatomical approach and surgical methods of minimally invasive treatment of carpal tunnel syndrome by palmar side single hole approach, and to provide anatomical basis for minimally invasive treatment of carpal tunnel syndrome by palmar lateral approach. Methods 16 fresh adult upper limb specimens were dissected and the related anatomical structures of carpal tunnel and palm were observed. Six fresh adult upper limb specimens were selected for simulated operation. The flexor retinaculum was cut under microscope and the epineurial release was performed. Results the point of operation was the largest exposition of the thumb. A parallel line was taken along the ulnar side of the metacarpophalangeal joint. The long axis crossing point between the middle and middle fingers was directed to the ulnar 1cm, and the operating plane was the lacuna between the superficial fascia and the palmar aponeurosis. Conclusion it is safe and feasible to treat carpal tunnel syndrome with minimally invasive approach through one hole in the palmar side. The flexor spurs can be thoroughly cut and the epineurial release can be performed under the microscope, which is helpful to the operation of the operation and the reduction of injury during the operation.
【作者單位】： 深圳市人民醫(yī)院(暨南大學(xué)第二臨床醫(yī)學(xué)院);
【基金】：深圳市科研立項(xiàng)(201202132) 深圳市科研項(xiàng)目(JCYJ 20140416122811970)
【分類號】：R688;R322

【共引文獻(xiàn)】

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