Clinical Observation of Ultrasound-Guided Longitudinal Incision of Transverse Carpal Ligament by Small Needle Scalpel in the Treatment of Carpal Tunnel Syndrome
Objective To explore the effectiveness of longitudinal incision of transverse carpal ligament with small needle knife under visual ultrasound in the treatment of carpal tunnel syndrome.Methods A total of 50 patients with carpal tunnel syndrome admitted to the Rehabilitation Department of the First Affiliated Hospital of Xinxiang Medical University from June 2019 to December 2021,they were randomly divided into control group and observation group,with 25 cases in each group.The control group was treated with ultrasound-guided drug therapy,and the observation group was treated with ultrasound-guided drug combined with needle knife longitudinal incision of transverse carpal ligament.The visual analogue scale(VAS)scores of the two groups before and after treatment were recorded,and the treatment effect was evaluated by Kelly criteria.Results Before treatment,there was no statistically difference in VAS scores between the two groups(P＞0.05),after treatment,the VAS scores of the two groups decreased,and the observation group was lower than the control group(P＜0.05).After treatment,the excellent and good rate of the observation group was higher than that of the control group(P＜0.05).Before treatment,there was no statistically difference in the cross-sectional area of the median nerve at the pea bone level between the two groups(P＞0.05),after treatment,the VAS scores of both groups decreased,and the observation group was lower than the control group(P＜0.05).Conclusion The ultrasound-guided small needle knife longitudinal resection of the transverse carpal ligament has a definite effect on the treatment of carpal tunnel syndrome and can alleviate patient pain.
万方数据
维普
