Tuncali D, Barutcu A Yuksel, Terzioglu A, Aslan G
Department of Plastic-Reconstructive and Aesthetic Surgery, Ankara Education and Research Hospital, Cebeci, Ankara, Turkey.
Br J Plast Surg. 2005 Dec;58(8):1136-42. doi: 10.1016/j.bjps.2005.05.010. Epub 2005 Jul 28.
The aim of this study is to grade the intraoperative findings seen in carpal tunnel syndrome (CTS) based on severity, and compare it with clinical and electrodiagnostic severity. Thirty-one hands surgically treated for CTS were graded according to the severity of clinical signs, and electrodiagnostic tests. Oedema, vascularisation, and fibrosis were graded on a scale of 1-3. Pseudoneuroma or 'hour-glass' formation were graded as either 0 or 1. The hands were allocated by an observer into an assumptive severity group, from grade 1 to 3. Clinical severity and electrodiagnostic severity were statistically compared with each other, and with each intraoperative severity criteria. A high statistical correlation (p < 0.01) was found between clinical severity and vascularisation, fibrosis, and the assumptive intraoperative severity. No correlation could be demonstrated between electrodiagnostic severity and the intraoperative criteria. Intraoperative grading should be regarded as a supportive measure to the clinical evaluation in order to obtain a sound base for surgical intervention and internal neurolysis.
本研究的目的是根据严重程度对腕管综合征（CTS）的术中所见进行分级，并将其与临床和电诊断严重程度进行比较。对31例接受手术治疗的CTS患者的手部，根据临床体征和电诊断测试的严重程度进行分级。水肿、血管形成和纤维化按1 - 3级进行分级。假神经瘤或“沙漏”形形成分为0级或1级。由一名观察者将手部归入假定的严重程度组，从1级到3级。将临床严重程度和电诊断严重程度相互之间以及与每个术中严重程度标准进行统计学比较。发现临床严重程度与血管形成、纤维化以及假定的术中严重程度之间存在高度统计学相关性（p < 0.01）。电诊断严重程度与术中标准之间未显示出相关性。术中分级应被视为临床评估的一种辅助措施，以便为手术干预和内部神经松解获得可靠依据。
