-
8/19/2019 Needle Aponeurotomy
1/26
E\Z\_UYLK‟S EOSLBSL
CHKSLYPBUOPL UYLBUFLKU -
KLLEML BZHKL\YHUHF_
Cgrostobk Eufhktolr, FE, ZgE
Aubelmhupl
-
8/19/2019 Needle Aponeurotomy
2/26
QGBU‟S CLYUBOK
Alkltoc trbot
Cbucbsobk (3-0%)4 7 cbsls hvlr 0 ylbrs ok b imbcdphpumbtohk wotg
bk okcoelkcl h` :,::::1%
Sphrbeoc cbsls ok bsobtoc plhpml (
-
8/19/2019 Needle Aponeurotomy
3/26
QGBU‟S CLYUBOK
Mokds th htglr pbtghmhaols
Eobiltls - HY 2,1< - typl O ; 9
Lpomlpsob - HY 2,29
Uhibcch - HY 9,7
Bmchghm - HY 2,?
Htglrs> GOP, Gyplrtroamyclroelfob, whrd, ...
Mhhs, IFC 9::147>0: 4 Alhaglabk NGS 9::54 9?I> 593-590 4
Iural NINS 2??14 1?I> 9:0-92:
-
8/19/2019 Needle Aponeurotomy
4/26
QGBU‟S CLYUBOK
\kprleoctbiml lvhmutohk b`tlr
suralry
Ylccurlkcls womm hccur o` tgl pbtolkt
movls mhka lkhuagSuraocbm chfpmocbtohks sghume il
mofotle o` phssoiml (plr-hp 4 lbrmy 4
mbtl chfpmocbtohks)
Klrvl bke brtlrobm oknurols(2-2,
-
8/19/2019 Needle Aponeurotomy
5/26
CHKSLYPBUOPL UYLBUFLKU
Hislrvbtohk 8
Kheumls `hmmhwle-up `hr ? ylbrs
-
8/19/2019 Needle Aponeurotomy
6/26
CHKSLYPBUOPL UYLBUFLKU
Gbvl illk bibkehkle> cythmytoc balkts,Ybeohtglrbpy (Dlomghmz,
2??0) , Oktlr`lrhk,...
Kht vbmoebtle> bcupukcturl, flshtglrbpy,
ghflhpbtgy, vot L (Ughfshk, 2?5?) ,
pgythtglrbpy,pgysohtglrbpy (Stomls, 2?00) ,...
Gbe prhvlk kht usl`um> Stlrhoe oknlctohk (Ibxtlr, 2?
Oshptokl, Ofoquofhe (Kbfbzo. Fle Gyphtglsls.9::0400(??2-9.) ,
sghcdwbvl tglrbpy (Dkhimhcg. Fle Gyphtglsls 9:22410(03
-
8/19/2019 Needle Aponeurotomy
7/26
GOSUHYOCBM H@ KLLEML
BZHKL\YHUHF_
El Slzl & Elilyrl> 2? 2?75, Ylv Zrbt.
Ibehos> 2??3, Ylv. Yguf.
Mlrfusobux> 2??1, Ylv. Yguf.@hucglr> 2??7, Bkk. Cgor.
Zmbst. -9::2, Cgor. Fbok
-
8/19/2019 Needle Aponeurotomy
8/26
KLLEML BZHKL\YHUHF_
Uh turk hme okth klw !
Ugbt‟s wgbt Bstmly-Chhplr bke Eupuytrlk eoe !
Ugl oelb os th irlbd tgbt «`...oka´ chre
Bmrlbey fbky vbrobtohks
-
8/19/2019 Needle Aponeurotomy
9/26
«HYOAOKBM´ ULCGKOR\L
Ehkl euroka chksumtbtohk
Mhcbm bklstglsob
Stlrhoe Oknlctohk okth kheumls ukelr prlssurl
Uh bke @rh fvts wotg b flkl klleml
@okalr lxtlksohk - flcgbkocbm rupturl
Lxtlksohk spmokt
-
8/19/2019 Needle Aponeurotomy
10/26
2 th < bphklurhthfols - 2 th 3 slssohks th alt lxtlksohk
CCBF> FNZI::2 (52,
-
8/19/2019 Needle Aponeurotomy
11/26
-
8/19/2019 Needle Aponeurotomy
12/26
-
8/19/2019 Needle Aponeurotomy
13/26
9 SLSSOHKS
-
8/19/2019 Needle Aponeurotomy
14/26
F\MUOZML BZHKL\YHUHF_
-
8/19/2019 Needle Aponeurotomy
15/26
«S\YAOCBM´ ULCGKOR\L
Eby suralry, ukelr mhch-rlaohkbm bklstglsob +/-thurkoqult
Hkl slbkcl
@rhf prhxofbm th eostbm
Slctohk h` tgl chres wotg b 92 abual klleml,tbkalkt ukelr tgl
sdok
-
8/19/2019 Needle Aponeurotomy
16/26
-
8/19/2019 Needle Aponeurotomy
17/26
-
8/19/2019 Needle Aponeurotomy
18/26
CMOKOCBM SLYOLS (MLKHIML)
293 pts (2:7 fbmls)
-
8/19/2019 Needle Aponeurotomy
19/26
CHFZMOCBUOHKS
Ulkehk :
Klrvl :
Ok`lctohus 2
YSE :
Sto``klss :
Zbok 75%
Fokofbm 10%
Slvlrl 7%
; 2 fhktg 0%
-
8/19/2019 Needle Aponeurotomy
20/26
C\UBKLH\S CHFZMOCBUOHKS
Yupturls
-
8/19/2019 Needle Aponeurotomy
21/26
LPHM\UOHK H@ YLS\MUS
3 yrs
-
8/19/2019 Needle Aponeurotomy
22/26
CHKUYB-OKEOCBUOHKS 8
Ugl tgufi
Kheumls, sdok okflmtrbtohk
-
8/19/2019 Needle Aponeurotomy
23/26
GHQ SB@L OS OU 8
Kh chfpmocbtohks (7 cbsls - Cglka N Hrtghp Sura 9::74
20(2)>77-?: / 15 cbsls vbk Yonsslk. NGS Ir 9::0432(5?7-
9:0-22)
27 fokhr prhimlfs (20: cbsls) - 2 erbokbal
trlbtle suraocbmmy
-
8/19/2019 Needle Aponeurotomy
24/26
GHQ L@@OCOLKU OS OU 8
Ofprhvlflkt FZ 1:%, ZOZ 52% (Cglka) FZ 1?%OZZ09:0-22)
Ofprhvlflkt 70% (20: pbtolkts), bke 19,
-
8/19/2019 Needle Aponeurotomy
25/26
GHQ MHKA QOMM OU MBSU 8
95% rl-hplrbtohk bke
-
8/19/2019 Needle Aponeurotomy
26/26
OS OU ILUULY 8
Mlss l`flcolkt (03 vs 1?%) ok Uuiobkb‟s stbal 3 bke5 bt 0 wllds
iut mlss fbnhr chfpmocbtohks (: vs
