Clinical Effect of Median Nerve Trunk Combined With Return Branch Release in the Treatment of Moderate-to-Severe Carpal Tunnel Syndrome
Objective To explore the clinical effECT of median nerve trunk release combined with return branch exploratory release in the treatment of carpal tunnel syndrome.Methods A total of 35 cases and 42 sides of patients in the People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine diagnosed with moderate-to-severe carpal tunnel syndrome were admitted from July 2022 to October 2023,and a modified traditional incision was used to release the main trunk of the median nerve and at the same time,the return branch of the median nerve was also explored and released,and the compression of the return branch and the factors that are prone to form a compression were completely loosened,and the patients were followed up regularly after the operation.Changes in motor potential latency and sensory nerve conduction velocity and changes in median nerve function score were mainly observed before and after surgery.Results The latency of EMG motor potential and sensory nerve conduction velocity at 8 weeks after operation were(3.96±1.03)ms and(44.84±3.00)m/s,respectively,which were better than(8.47±1.61)ms and(32.98±2.09)m/s before operation,the difference was statistically significant(P<0.05).The good rate of median nerve score at 8 weeks after operation was better than that before operation,and the difference was statistically significant(P<0.05).Conclusion In patients with moderate-to-severe carpal tunnel syndrome,the return branch of the median nerve often has compression or more easy cardinal factors,when performing incisional decompression surgery for carpal tunnel syndrome,we should not be confined to the size of the surgical incision,and it should be completely loosened in order to improve the clinical efficacy.
carpal tunnel syndromemedian nervemedian nerve rebranchreleasemedian nerve double entrapmentclinical research
万方数据
维普
