- 期刊
Endoscopic Carpal Tunnel Release in Selected Rheumatoid Patients
內視鏡腕道症候群手術選擇性應在類風濕性關節炎病人
摘要
56次內視鏡腕道症候群手術選擇性應用於42位不活動性類風濕性關節炎病人，手術中使用Menon內視鏡腕道症候群之手術方法來分開手腕橫向屈韌帶。類風濕性關節炎合併有嚴重synovitis，手腕無法自主彎曲，曲指肌腱斷裂或手腕曾經接受手術的病人，並不適合內視鏡手術。 手術中的困難度與一般腕道症候群一樣，56次手術中，並未發生立即血管、肌腱斷裂等併發症，傷口小而且手掌中沒有疤痕組織，恢復期短，對不活動性類風濕性關節炎病人的術後日常活動及復健，幫助頗大。
關鍵字
無資料並列摘要
Fifty-six endoscopic carpal tunnel releases were performed in 42 patients with quiescent seropositive rheumatoid arthritis using the Menon technique. Endoscopic carpal tunnel release was not considered for patients who had florid synovitis with crepitus, loss of active finger flexion, evidence of flexor tendon rupture or previous operation in the carpal area. Access to the tunnel was not so tight comparing to idiopathic or occupational carpal tunnel syndrome and visualization of the flexor retinaculum was satisfactory in all cases. There were no immediate complications. Endoscopic carpal tunnel release can be safely performed in selected patients with rheumatoid arthritis. The absence of a palmar scar can be a great advantage to rheumatoid disabled patients.
延伸閱讀
- 陳熙全、林永福（1984）。應用骨外固定行肘內翻畸型矯正手術－病例報告。物理治療學會雜誌，9()，52-56。https://doi.org/10.29617/JPT.198411.0010
- 呂瑾玫（2013）。Cataflam和Ultracet藥物介入降低腕隧道症候群、橈突莖肌腱炎和板機指術後疼痛相關研究〔碩士論文，高雄醫學大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0011-0708201309224500
- Huang, G. L., Chang, C. H., Chang, C. C., Chen, W. C., & Hou, S. M. (2002). 複雜性肘部骨折的早期手術治療 ─ 病例報告及文獻處理. Journal of Orthopaedic Surgery Taiwan, 19(2), 106-111. https://www.airitilibrary.com/Article/Detail?DocID=10116923-200206-19-2-106-111-a
- 辛明容、張祐泟、宋克強、杜杏慧（2016）。腕隧道症候群的治療選擇。醫學與健康期刊，5(1)，85-91。https://www.airitilibrary.com/Article/Detail?DocID=23046856-201603-201603160011-201603160011-85-91
- Wong, C. C., & Ho, W. P. (2010). 痛風石模擬腕部腫瘤引發手指關節彎曲攣縮：個案報告. Journal of Orthopaedic Surgery Taiwan, 27(2), 87-90. https://www.airitilibrary.com/Article/Detail?DocID=10116923-201006-201008050047-201008050047-87-90