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首页> 外文期刊>Journal of Clinical Ultrasound: JCU >Minimally invasive ultrasound-guided carpal tunnel release: A cadaver study
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Minimally invasive ultrasound-guided carpal tunnel release: A cadaver study

机译:微创超声引导腕管松解:尸体研究

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摘要

Background.: Carpal tunnel syndrome is a common condition frequently requiring surgical intervention. We describe a new minimally invasive surgical technique for carpal tunnel release utilizing ultrasound (US) visualization. Methods.: The technique was performed on 20 fresh frozen cadaver specimens. A surgical metallic probe with a "U"-shaped trough and upward curved distal tip was precisely positioned in the carpal tunnel with US guidance followed by division of the flexor retinaculum (FR) with a "V"-shaped scalpel. Results.: Complete division of the FR was confirmed by US. Dissection performed on the specimens confirmed complete release of FR and absence of neurovascular injury. The distance from the division of the FR to these structures, the "safety margins," was measured. Conclusions.: This new technique for carpal tunnel release appears to combine the safety and efficacy of open carpal tunnel surgery with the advantages of the minimally invasive techniques.
机译:背景:腕管综合症是常见病,经常需要手术干预。我们描述了一种利用超声(US)可视化的腕管释放的新的微创外科手术技术。方法:该技术在20个新鲜的冷冻尸体标本上进行。将带有“ U”形槽和向上弯曲的远端尖端的外科手术金属探针在US引导下精确地定位在腕管中,然后用“ V”形解剖刀将屈肌膜(FR)分开。结果:美国证实了FR的完全划分。在标本上进行的解剖证实了FR的完全释放,并且没有神经血管损伤。测量了从FR到这些结构的距离,即“安全裕度”。结论:这种用于腕管释放的新技术似乎将开放式腕管手术的安全性和有效性与微创技术的优势结合在一起。

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