[腕管综合征-病因及治疗]。

Przeglad lekarski Pub Date : 2016-01-01
Maksymilian Gniadek, Marek Trybus
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引用次数: 0

摘要

本文介绍了腕管综合征的病因、诊断、处理、治疗及预后。讨论了正中神经压迫的发生机制和引起该综合征的易感因素,以及具体症状的先后顺序和疾病严重程度的分级。诊断方法介绍了每种方法的好处和后果。腕管综合征的治疗分为保守治疗和手术治疗。保守治疗包括使用腕夹板固定手腕,物理治疗,全身和局部药物治疗,以及在腕管内局部注射类固醇。保守治疗的结果往往是短期的。手术治疗包括切断屈肌支持带肌腱。这直接消除了CTS的原因,即手腕的腕管压力增加。一定比例的患者在治疗后出现并发症或疾病复发。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Carpal tunnel syndrome- etiology and treatment].

The paper presents the etiology, diagnostics, management, treatment and prognosis of carpal tunnel syndrome. The mechanism of the median nerve compression as well as the predisposing factors that cause the syndrome are discussed, as well as the sequence of specific symptoms and the classification of the level of severity of disease. The diagnostic methods are presented with both the benefits and consequences of each method. The treatment of carpal tunnel syndrome is divided into conservative and surgical approaches. Conservative treatment consists of keeping the wrist immobile using wrist splints, physiotherapy, systemic and local pharmacotherapy, as well as local steroid injections into the carpal tunnel. The results of conservative treatment are often short-term. Operative treatment consists of cutting the flexor retinaculum tendon. This directly eliminates the cause of CTS, the increased pressure in the carpal tunnel of the wrist. A certain percentage of patients experience complications post treatment or disease recurrence.

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