Bednarski Marek, Zyluk Andrzej, Zyluk Beata
Klinika Chirurgii Ogólnej i Chirurgii Reki, Pomorska Akademia Medyczna w Szczecinie.
Chir Narzadow Ruchu Ortop Pol. 2005;70(1):21-6.
Evaluation of changes of the total grip strength, two-point pinch, three-point pinch, key-pinch and a subjective improvement of the dexterity of the hand measured by functional part of Levine questionnaire within first year after carpal tunnel release.
Thirty-nine patients with carpal tunnel syndrome (CTS) were evaluated for changes of aforementioned grips, pinches and completed the Levine questionnaire. All measurements were performed with set of digital dynamometers. Patients were assessed before the operation and at 3, 6 and finally at 12 months after surgery. In all cases carpal tunnel was released by double incision open technique.
All grips and pinches improved significantly within first year after surgery with respect to preoperative values. Mean total grip strength increased at 3 months to 109%, at 6 months to 123% and at 12 months to 138%. Statistically significant difference was noted at 6 and 12 months. Mean value of two-point pinch was at 3 months of 117% preoperative value, at 3 months of 131% and at 12 months of 145%. Statistically significant difference was noted at 12 months. Mean value of three-point pinch was at 3 months of 114% preoperative value, at 6 months of 130% and at 12 months of 144%. Statistically significant difference was noted at 6 and 12 months. Mean value of key-pinch strength was at 3 months of 105% preoperative value, at 6 months of 117% and at 12 months of 145%. Statistically significant difference was noted at 6 and 12 months. Subjective evaluation of dexterity of the hand by functional part of Levine questionnaire revealed statistically significant improvement in all four post-operative examinations.
Power of the hand improved gradually within whole first year after carpal tunnel release, however statistically significant difference was noted as late as at 6 and 12 months after surgery. In subjective opinion of patients the dexterity of the hand improves gradually during whole 12 months follow-up.
评估腕管松解术后第一年总握力、两点捏力、三点捏力、钥匙捏力的变化，以及通过莱文问卷功能部分测量的手部灵活性主观改善情况。
对39例腕管综合征（CTS）患者进行上述握力、捏力变化评估，并完成莱文问卷。所有测量均使用数字测力计进行。患者在手术前、术后3个月、6个月及最后12个月进行评估。所有病例均采用双切口开放技术松解腕管。
与术前值相比，所有握力和捏力在术后第一年内均有显著改善。平均总握力在3个月时增至术前的109%，6个月时增至123%，12个月时增至138%。在6个月和12个月时观察到统计学上的显著差异。两点捏力平均值在3个月时为术前值的117%，6个月时为131%，12个月时为145%。在12个月时观察到统计学上的显著差异。三点捏力平均值在3个月时为术前值的114%，6个月时为130%，12个月时为144%。在6个月和12个月时观察到统计学上的显著差异。通过莱文问卷功能部分对手部灵活性的主观评估显示，在所有四次术后检查中均有统计学上的显著改善。
腕管松解术后的整个第一年，手部力量逐渐改善，但直到术后6个月和12个月才观察到统计学上的显著差异。在患者的主观评价中，手部灵活性在整个12个月的随访期间逐渐改善。
