Sotereanos D G, Varitimidis S E, Giannakopoulos P N, Westkaemper J G
Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, PA 15213, USA.
J Hand Surg Am. 1999 May;24(3):566-70. doi: 10.1053/jhsu.1999.0566.
We reviewed the outcome of radial nerve decompression in 28 patients with an average 28-month follow-up period. The outcome was determined by both subjective (ie, questionnaire) and objective assessments. Only 11 of the 28 patients (39%) had excellent or good results. However, 64% subjectively assessed their results as excellent or good. Results were worse in patients receiving workers' compensation or who were in litigation. The difference was statistically significant. Although previous studies have found a high rate of good results, we believe that a high rate of morbidity is associated with both the disease and its treatment. Based on our results we suggest that great caution be taken before performing radial tunnel release and strict adherence to the indications noted during the preoperative examination.
我们回顾了28例接受桡神经减压术患者的治疗结果,平均随访期为28个月。结果通过主观(即问卷调查)和客观评估来确定。28例患者中只有11例(39%)获得了优或良的结果。然而,64%的患者主观上认为其结果为优或良。接受工伤赔偿或处于诉讼中的患者结果更差。差异具有统计学意义。尽管先前的研究发现良好结果的比例很高,但我们认为高发病率与该疾病及其治疗均相关。基于我们的结果,我们建议在进行桡管松解术前要格外谨慎,并严格遵循术前检查中所明确的指征。