中英文字幕:德奎尔万腱鞘炎松解(De Quervain's Release)

分类: 腱鞘炎是什么症状 发布时间:2018-11-08 20:54

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De Quervain’s Release

德奎尔万腱鞘炎松解

Overview(概述)

This outpatient procedure relieves the symptoms of De Quervain's tenosynovitis by releasing the tendon sheath that wraps around the tendons at the base of the thumb. This relieves pressure and friction on the tendons, allowing them to glide freely.

这个门诊手术通过松解包绕在拇指根部的腱鞘来缓解德奎尔万腱鞘炎的症状。这样能减轻肌腱上的压力和磨擦,使肌腱能自由地滑地。

Preparation(准备)

The patient is positioned, anesthesia is administered, and the hand and wrist are cleansed and sterilized. The surgeon creates a small incision on the wrist at the base of the thumb to access the inflamed tendons.

将患者摆妥体位,施以麻醉。手腕清洁消毒。术者在拇指根部的腕关节处作一小切口,显露发炎的肌腱。

Opening the Sheath(打开腱鞘)

The surgeon carefully releases the inflamed sheath surrounding the tendon, allowing it to spread open. In many cases, a second sheath is found inside the first. It is released as well. The surgeon may also remove any thickened tissue found between the tendons. Creating more space for the tendons relieves painful pressure and eliminates the friction that can occur as the hand is used.

术者小心地松解肌腱周围的腱鞘,使其伸展开。在有些病例,在第一个腱鞘内还发现有第二个腱鞘,也需要一起松解。术者也会去除一些肌腱间增厚的组织,为肌腱留出更多的空间,缓解因压力而引起的疼痛,消除手活动时产生的磨擦。

End of Procedure(手术结束)

The incision is closed, and a local anesthetic may be injected for post surgical pain relief. The wrist is bandaged, and a splint may be applied. The patient is given pain medication and is able to go home the same day. Thumb motion is usually encouraged after surgery.

关闭切口,可能会注射局麻药以缓解术后疼痛。包扎腕关节,可能会使用夹板。给病人止痛药物,当天就可回家。术后通常鼓励拇指活动。

(胡佰文  译)

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