【摘要】 腕管综合征(carpal tunnel syndrome,CTS)是腕管内正中神经受到压迫而引起的病症。近年来,由于电脑等电子设备的普及,CTS的发病率呈现快速上升的趋势,其治疗方法包括手术治疗和保守治疗,对于轻中度的CTS,优先选择保守治疗。针刀治疗作为一种创新独特的治疗方法,能够通过松解腕横韧带缓解腕管内压力,促进局部血液循环,且具有创伤小、疗程短、费用低等特点,患者更容易接受。除此之外,针刀联合其他疗法混合治疗也有着不错的临床疗效。但传统针刀疗法在操作上存在着一定的局限性,借助超声技术,能够有效解决其安全问题,因此,超声引导针刀治疗CTS成为目前的研究热点,但其长期治疗效果仍需进一步验证。更多还原

【Abstract】 Carpal tunnel syndrome(CTS) is a condition caused by compression of the median nerve in carpal canal.In recent years,due to popularity of electronic devices such as computers,the incidence of CTS has shown a rapid rising trend.Its treatment methods include surgical treatment and conservative treatment.For mild to and moderate CTS,conservative treatment is preferred.Acupotomy,as an innovative and unique treatment method,could relieve pressure in carpal canal by releasing transverse ligament of wrist and promote local blood circulation to treat CTS,and has characteristics of less trauma,short course of treatment and low cost,which is more acceptable to patients.In addition,the combination of needle-knife and other therapies also has a good effect.However,traditional needle-knife therapy has certain limitations in operation,and its safety problems can be effectively solved with the help of ultrasound technology.Therefore,ultrasus-guided needle-knife therapy for CTS has become a current research hotspot,but its long-term therapeutic effect still needs to be further verified.更多还原