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Endoscopic and open decompression of median nerve in carpal tunnel = ΠΠ½Π΄ΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠ°Ρ ΠΈ ΠΎΡΠΊΡΡΡΠ°Ρ Π΄Π΅ΠΊΠΎΠΌΠΏΡΠ΅ΡΡΠΈΡ ΡΡΠ΅Π΄ΠΈΠ½Π½ΠΎΠ³ΠΎ Π½Π΅ΡΠ²Π° Π² ΠΎΠ±Π»Π°ΡΡΠΈ ΠΊΠ°ΡΠΏΠ°Π»ΡΠ½ΠΎΠ³ΠΎ ΠΊΠ°Π½Π°Π»Π°
Chyrka I. L., Tsymbaliuk V. I. Endoscopic and open decompression of median nerve in carpal tunnel = ΠΠ½Π΄ΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠ°Ρ ΠΈ ΠΎΡΠΊΡΡΡΠ°Ρ Π΄Π΅ΠΊΠΎΠΌΠΏΡΠ΅ΡΡΠΈΡ ΡΡΠ΅Π΄ΠΈΠ½Π½ΠΎΠ³ΠΎ Π½Π΅ΡΠ²Π° Π² ΠΎΠ±Π»Π°ΡΡΠΈ ΠΊΠ°ΡΠΏΠ°Π»ΡΠ½ΠΎΠ³ΠΎ ΠΊΠ°Π½Π°Π»Π°. Journal of Education, Health and Sport. 2015;5(7):251-257. ISSN 2391-8306. DOI 10.5281/zenodo.19951http://ojs.ukw.edu.pl/index.php/johs/article/view/2015%3B5%287%29%3A251-257https://pbn.nauka.gov.pl/works/583796http://dx.doi.org/10.5281/zenodo.19951Formerly Journal of Health Sciences. ISSN 1429-9623 / 2300-665X. Archives 2011 β 2014 http://journal.rsw.edu.pl/index.php/JHS/issue/archiveΒ Deklaracja.Specyfika i zawartoΕΔ merytoryczna czasopisma nie ulega zmianie.Zgodnie z informacjΔ
MNiSW z dnia 2 czerwca 2014 r., ΕΌe w roku 2014 nie bΔdzie przeprowadzana ocena czasopism naukowych; czasopismo o zmienionym tytule otrzymuje tyle samo punktΓ³w co na wykazie czasopism naukowych z dnia 31 grudnia 2014 r.The journal has had 5 points in Ministry of Science and Higher Education of Poland parametric evaluation. Part B item 1089. (31.12.2014).Β© The Author (s) 2015;This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland and Radom University in Radom, PolandOpen Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited.This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non commercialuse, distribution and reproduction in any medium, provided the work is properly cited.The authors declare that there is no conflict of interests regarding the publication of this paper.Received: 15.06.2015. Revised 05.07.2015. Accepted: 10.07.2015.Β ENDOSCOPIC AND OPEN DECOMPRESSION OF MEDIAN NERVE IN CARPAL TUNNELΒ ΠΠ½Π΄ΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠ°Ρ ΠΈ ΠΎΡΠΊΡΡΡΠ°Ρ Π΄Π΅ΠΊΠΎΠΌΠΏΡΠ΅ΡΡΠΈΡ ΡΡΠ΅Π΄ΠΈΠ½Π½ΠΎΠ³ΠΎ Π½Π΅ΡΠ²Π° Π² ΠΎΠ±Π»Π°ΡΡΠΈ ΠΊΠ°ΡΠΏΠ°Π»ΡΠ½ΠΎΠ³ΠΎ ΠΊΠ°Π½Π°Π»Π°Β I. L. Chyrka, V. I. TsymbaliukΒ Institute of Neurosurgery named after acad. A.P. Romodanov NAMS Ukraine, Kiev, UkraineVinnitsa National Medical University named after N.I.Pirogov, Cathedra of Neurology and Neurosurgery, Vinnitsa, UkraineΒ Key words: carpal tunnel syndrome, median nerve, endoscopic decompression, open decompression.ΠΠ»ΡΡΠ΅Π²ΡΠ΅ ΡΠ»ΠΎΠ²Π°: ΠΊΠ°ΡΠΏΠ°Π»ΡΠ½ΡΠΉ ΡΡΠ½Π½Π΅Π»ΡΠ½ΡΠΉ ΡΠΈΠ½Π΄ΡΠΎΠΌ, ΡΡΠ΅Π΄ΠΈΠ½Π½ΡΠΉ Π½Π΅ΡΠ², ΡΠ½Π΄ΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠ°Ρ Π΄Π΅ΠΊΠΎΠΌΠΏΡΠ΅ΡΡΠΈΡ, ΠΎΡΠΊΡΡΡΠ°Ρ Π΄Π΅ΠΊΠΎΠΌΠΏΡΠ΅ΡΡΠΈΡ.AbstractThe authors of the study introduced into clinical practice endoscopic decompression of median nerve in carpal tunnel. A comparative study of the effectiveness endoscopic and direct decompression of the median nerve in the carpal tunnel syndrome was done. Surgical treatment was performed in 54 patients. 28 patients included in the group of endoscopic surgery, 26 - in the open surgery group. To evaluate results of study the clinical features, the data of dynamometry, the study of discriminatory sensitivity of compressed nerve, electroneuromyography and an ultrasound scan of the median nerve in the carpal canal were used. Treatment results were evaluated 7 and 30 days after surgery. Based on the analysis of research highlighted the advantages of endoscopic and open techniques of decompression of the median nerve in patients with carpal tunnel syndrome.Π Π΅Π·ΡΠΌΠ΅ΠΠ²ΡΠΎΡΠ°ΠΌΠΈ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ Π²Π½Π΅Π΄ΡΠ΅Π½Π° Π² ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΡΡ ΠΏΡΠ°ΠΊΡΠΈΠΊΡ ΡΠ½Π΄ΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠ°Ρ ΠΌΠ΅ΡΠΎΠ΄ΠΈΠΊΠ° Π΄Π΅ΠΊΠΎΠΌΠΏΡΠ΅ΡΡΠΈΠΈ ΡΡΠ΅Π΄ΠΈΠ½Π½ΠΎΠ³ΠΎ Π½Π΅ΡΠ²Π° Π² ΠΎΠ±Π»Π°ΡΡΠΈ ΠΊΠ°ΡΠΏΠ°Π»ΡΠ½ΠΎΠ³ΠΎ ΠΊΠ°Π½Π°Π»Π°. ΠΡΠΎΠ²Π΅Π΄Π΅Π½ΠΎ ΡΡΠ°Π²Π½ΠΈΡΠ΅Π»ΡΠ½ΠΎΠ΅ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠ΅ ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΡΡΠΈ ΡΠ½Π΄ΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΈ ΠΏΡΡΠΌΠΎΠΉ Π΄Π΅ΠΊΠΎΠΌΠΏΡΠ΅ΡΡΠΈΠΈ ΡΡΠ΅Π΄ΠΈΠ½Π½ΠΎΠ³ΠΎ Π½Π΅ΡΠ²Ρ ΠΏΡΠΈ ΠΊΠ°ΡΠΏΠ°Π»ΡΠ½ΠΎΠΌ ΡΡΠ½Π½Π΅Π»ΡΠ½ΠΎΠΌ ΡΠΈΠ½Π΄ΡΠΎΠΌΠ΅. Π₯ΠΈΡΡΡΠ³ΠΈΡΠ΅ΡΠΊΠΎΠ΅ Π²ΠΌΠ΅ΡΠ°ΡΠ΅Π»ΡΡΡΠ²ΠΎ Π²ΡΠΏΠΎΠ»Π½Π΅Π½ΠΎ 54 ΠΏΠ°ΡΠΈΠ΅Π½ΡΠ°ΠΌ. 28 ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Π²ΠΎΡΠ»ΠΈ Π² Π³ΡΡΠΏΠΏΡ ΡΠ½Π΄ΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠΎΠΉ Ρ
ΠΈΡΡΡΠ³ΠΈΠΈ, 26 β Π² Π³ΡΡΠΏΠΏΡ ΠΎΡΠΊΡΡΡΠΎΠΉ Ρ
ΠΈΡΡΡΠ³ΠΈΠΈ. Β ΠΠ»Ρ ΠΎΡΠ΅Π½ΠΊΠΈ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΠΎΠ² ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π»ΠΈ ΠΎΡΠΎΠ±Π΅Π½Π½ΠΎΡΡΠΈ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΊΠ°ΡΡΠΈΠ½Ρ, Π΄Π°Π½Π½ΡΠ΅ Π΄ΠΈΠ½Π°ΠΌΠΎΠΌΠ΅ΡΡΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΏΡΠΎΠ±, ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠ΅ Π΄ΠΈΡΠΊΡΠΈΠΌΠΈΠ½Π°ΡΠΈΠΎΠ½Π½ΠΎΠΉ ΡΡΠ²ΡΡΠ²ΠΈΡΠ΅Π»ΡΠ½ΠΎΡΡΠΈ Π² Π΄Π΅ΡΠΌΠ°ΡΠΎΠΌΠ΅ ΠΊΠΎΠΌΠΏΡΠΈΠΌΠΈΡΠΎΠ²Π°Π½Π½ΠΎΠ³ΠΎ Π½Π΅ΡΠ²Π°, ΡΠ»Π΅ΠΊΡΡΠΎΠ½Π΅ΠΉΡΠΎΠΌΠΈΠΎΠ³ΡΠ°ΡΠΈΡ ΠΈ ΡΠ»ΡΡΡΠ°Π·Π²ΡΠΊΠΎΠ²ΠΎΠ΅ ΡΠΊΠ°Π½ΠΈΡΠΎΠ²Π°Π½ΠΈΠ΅ ΡΡΠ΅Π΄ΠΈΠ½Π½ΠΎΠ³ΠΎ Π½Π΅ΡΠ²Π° Π½Π°Π΄ ΠΈ Π² ΠΊΠ°ΡΠΏΠ°Π»ΡΠ½ΠΎΠΌ ΠΊΠ°Π½Π°Π»Π΅. Π Π΅Π·ΡΠ»ΡΡΠ°ΡΡ Π»Π΅ΡΠ΅Π½ΠΈΡ ΠΎΡΠ΅Π½ΠΈΠ²Π°Π»ΠΈΡΡ Π½Π° 7 ΠΈ 30 ΡΡΡΠΊΠΈ ΠΏΠΎΡΠ»Π΅ ΠΏΡΠΎΠ²Π΅Π΄Π΅Π½ΠΈΡ Ρ
ΠΈΡΡΡΠ³ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ Π²ΠΌΠ΅ΡΠ°ΡΠ΅Π»ΡΡΡΠ²Π°. ΠΠ° ΠΎΡΠ½ΠΎΠ²Π΅ Π°Π½Π°Π»ΠΈΠ·Π° ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΠΎΠ² ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ ΡΠ°Π·ΡΠ°Π±ΠΎΡΠ°Π½Ρ ΠΏΡΠ°ΠΊΡΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΡΠ΅ΠΊΠΎΠΌΠ΅Π½Π΄Π°ΡΠΈΠΈ ΠΈ Π²ΡΠ΄Π΅Π»Π΅Π½Ρ ΠΏΡΠ΅ΠΈΠΌΡΡΠ΅ΡΡΠ²Π° ΡΠ½Π΄ΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΈ ΠΎΡΠΊΡΡΡΠΎΠΉ ΠΌΠ΅ΡΠΎΠ΄ΠΈΠΊΠΈ Π΄Π΅ΠΊΠΎΠΌΠΏΡΠ΅ΡΡΠΈΠΈ ΡΡΠ΅Π΄ΠΈΠ½Π½ΠΎΠ³ΠΎ Π½Π΅ΡΠ²Ρ Ρ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ ΠΊΠ°ΡΠΏΠ°Π»ΡΠ½ΡΠΌ ΡΡΠ½Π½Π΅Π»ΡΠ½ΡΠΌ ΡΠΈΠ½Π΄ΡΠΎΠΌΠΎΠΌ