{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T12:05:30Z","timestamp":1785326730627,"version":"3.55.0"},"reference-count":17,"publisher":"Akademiai Kiado Zrt.","issue":"9","content-domain":{"domain":["www.akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2024,3,3]]},"abstract":"\n Bevezet\u00e9s:<\/jats:italic>\n A k\u00e9zt\u0151alag\u00fat-szindr\u00f3ma haz\u00e1nkban is gyakran\n el\u0151fordul\u00f3 megbeteged\u00e9s, ak\u00e1r minden 10. embert \u00e9rintheti. Korai t\u00fcneteinek\n felismer\u00e9se elengedhetetlen az id\u0151ben t\u00f6rt\u00e9n\u0151 diagn\u00f3zishoz \u00e9s a beavatkoz\u00e1shoz.\n S\u00falyos vagy konzervat\u00edv kezel\u00e9sekre nem reag\u00e1l\u00f3 esetekben seb\u00e9szeti beavatkoz\u00e1s\n v\u00e1lhat sz\u00fcks\u00e9gess\u00e9.\n C\u00e9lkit\u0171z\u00e9s:<\/jats:italic>\n A jelen k\u00f6zlem\u00e9ny c\u00e9lja egy\n haz\u00e1nkban \u00fajonnan meghonos\u00edtott, ultrahangvez\u00e9relt dekompresszi\u00f3s m\u0171t\u00e9t\n bemutat\u00e1sa \u00e9s eredm\u00e9nyeinek taglal\u00e1sa.\n M\u00f3dszer:<\/jats:italic>\n A m\u0171t\u00e9t\n egynapos seb\u00e9szeti ell\u00e1t\u00e1s keret\u00e9ben t\u00f6rt\u00e9nik, lok\u00e1lis \u00e9rz\u00e9stelen\u00edt\u00e9sben.\n Ultrahang seg\u00edts\u00e9g\u00e9vel azonos\u00edtjuk a medianus ideg lefut\u00e1s\u00e1t, a fontosabb\n \u00e9rk\u00e9pleteket, biztons\u00e1gi hat\u00e1rokat. 2 mm-es b\u0151rmetsz\u00e9sen kereszt\u00fcl folyamatos\n ultrahangkontroll alatt vezetj\u00fck be a m\u0171t\u00e9ti eszk\u00f6z\u00f6ket. A sarl\u00f3s szik\u00e9vel\n alulr\u00f3l metssz\u00fck \u00e1t a ligamentum carpi transversumot, \u00edgy dekomprim\u00e1lva a\n medianus ideget. A teljes dekompresszi\u00f3t igazoljuk ultrahanggal \u00e9s\n seg\u00e9deszk\u00f6z\u00f6kkel is. A sebet a legt\u00f6bb esetben ragasztjuk.\n Eredm\u00e9nyek:<\/jats:italic>\n A m\u00f3dszert 44 beteg eset\u00e9ben v\u00e9gezt\u00fck 2022.\n okt\u00f3ber \u00e9s 2023. november k\u00f6z\u00f6tt. A m\u0171t\u00e9tet megel\u0151z\u0151en minden esetben\n ultrahangvizsg\u00e1lat is t\u00f6rt\u00e9nt a szekunder okok \u00e9s a kontraindik\u00e1l\u00f3 t\u00e9nyez\u0151k\n (p\u00e9ld\u00e1ul egyedi \u00e9ranat\u00f3mia) kiz\u00e1r\u00e1s\u00e1ra. M\u0171t\u00e9ti indik\u00e1ci\u00f3nak az\n elektrofiziol\u00f3giailag igazolt, k\u00f6zepes vagy s\u00falyos fok\u00fa idegi k\u00e1rosod\u00e1st,\n tov\u00e1bb\u00e1 a betegek \u00e1ltal jelzett, az \u00e9letmin\u0151s\u00e9get jelent\u0151sen ront\u00f3, t\u0171rhetetlen\n panaszokat tekintett\u00fck. Intraoperat\u00edv vagy major komplik\u00e1ci\u00f3t egyetlen esetben\n sem tapasztaltunk. 2 esetben jelentkezett kisebb komplik\u00e1ci\u00f3 (b\u0151rp\u00edr, hosszabb\n gy\u00f3gyul\u00e1s a k\u00e9z t\u00fal korai er\u0151ltet\u00e9se miatt). A betegek m\u00e1r a m\u0171t\u00e9tet k\u00f6vet\u0151 2.\n napt\u00f3l a t\u00fcnetek jelent\u0151s cs\u00f6kken\u00e9s\u00e9t tapasztalt\u00e1k, \u00e9s az oper\u00e1lt kez\u00fcket a\n mindennapokban haszn\u00e1lhatt\u00e1k. A zsibbad\u00e1sos panaszok megsz\u0171n\u00e9se \u00e1tlagosan 2,5\n h\u00e9t alatt k\u00f6vetkezett be.\n K\u00f6vetkeztet\u00e9s:<\/jats:italic>\n Az ultrahangvez\u00e9relt\n dekompresszi\u00f3 kiv\u00e1l\u00f3 \u00e9s biztons\u00e1gos lehet\u0151s\u00e9get ny\u00fajt a k\u00e9zt\u0151alag\u00fat-szindr\u00f3ma\n minim\u00e1lisan invaz\u00edv kezel\u00e9s\u00e9re. A technika f\u0151 el\u0151nyei k\u00f6z\u00fcl kiemelhet\u0151 az apr\u00f3\n v\u00e1g\u00e1sb\u00f3l sz\u00e1rmaz\u00f3 kisebb fok\u00fa hegesed\u00e9s, valamint a r\u00f6vid ideig tart\u00f3\n rehabilit\u00e1ci\u00f3 \u00e9s munk\u00e1ba val\u00f3 gyors visszat\u00e9r\u00e9s lehet\u0151s\u00e9ge. Orv Hetil. 2024;\n 165(9): 346\u2013350.\n <\/jats:p>","DOI":"10.1556\/650.2024.32989","type":"journal-article","created":{"date-parts":[[2024,3,3]],"date-time":"2024-03-03T03:57:04Z","timestamp":1709438224000},"page":"346-350","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["Ultrahangvez\u00e9relt dekompresszi\u00f3 k\u00e9zt\u0151alag\u00fat-szindr\u00f3ma kezel\u00e9s\u00e9re"],"prefix":"10.1556","volume":"165","author":[{"given":"G\u00e1bor","family":"Czigl\u00e9czki","sequence":"first","affiliation":[{"name":"Szent Magdolna Mag\u00e1nk\u00f3rh\u00e1z Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gy\u00f6rgy","family":"Ber\u00e9nyi","sequence":"additional","affiliation":[{"name":"Szent Magdolna Mag\u00e1nk\u00f3rh\u00e1z Budapest Magyarorsz\u00e1g"},{"name":"Orsz\u00e1gos Ment\u00e1lis, Ideggy\u00f3gy\u00e1szati \u00e9s Idegseb\u00e9szeti Int\u00e9zet Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"R1","doi-asserted-by":"crossref","unstructured":"Practice parameter for carpal tunnel syndrome (summary statement).\n Report of the Quality Standards Subcommittee of the American Academy of\n Neurology. Neurology 1993; 43: 2406\u20132409.","DOI":"10.1212\/WNL.43.11.2406"},{"key":"R2","doi-asserted-by":"crossref","unstructured":"Calandruccio JH, Thompson NB. Carpal tunnel syndrome: making\n evidence-based treatment decisions. Orthop Clin North Am. 2018; 49:\n 223\u2013229.","DOI":"10.1016\/j.ocl.2017.11.009"},{"key":"R3","doi-asserted-by":"crossref","unstructured":"Atroshi I, Gummesson C, Johnsson R, et al. Prevalence of carpal\n tunnel syndrome in a general population. JAMA 1999; 282:\n 153\u2013158.","DOI":"10.1001\/jama.282.2.153"},{"key":"R4","doi-asserted-by":"crossref","unstructured":"Padua L, Coraci D, Erra C, et al. Carpal tunnel syndrome: clinical\n features, diagnosis, and management. Lancet Neurol. 2016; 15:\n 1273\u20131284.","DOI":"10.1016\/S1474-4422(16)30231-9"},{"key":"R5","doi-asserted-by":"crossref","unstructured":"Loizides A, Honold S, Skalla-Oberherber E, et al. Ultrasound-guided\n minimal invasive carpal tunnel release: an optimized algorithm. 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An evidence-based review\n of a single surgeon\u2019s experience with endoscopic carpal tunnel release. J Surg\n Orthop Adv. 2012; 21: 117\u2013121.","DOI":"10.3113\/JSOA.2012.0117"},{"key":"R13","doi-asserted-by":"crossref","unstructured":"Michelotti B, Romanowsky D, Hauck RM. Prospective, randomized\n evaluation of endoscopic versus open carpal tunnel release in bilateral carpal\n tunnel syndrome: an interim analysis. Ann Plast Surg. 2014; 73(Suppl 2):\n S157\u2013S160.","DOI":"10.1097\/SAP.0000000000000203"},{"key":"R14","doi-asserted-by":"crossref","unstructured":"Vasiliadis HS, Georgoulas P, Shrier I, et al., Endoscopic release\n for carpal tunnel syndrome. Cochrane Database Syst Rev. 2014(1):\n CD008265.","DOI":"10.1002\/14651858.CD008265.pub2"},{"key":"R15","doi-asserted-by":"crossref","unstructured":"Petrover D, Silvera J, De Baere T, et al. Percutaneous\n ultrasound-guided carpal tunnel release: study upon clinical efficacy and\n safety. 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