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开放性手术与内镜手术治疗腕管综合征的疗效比较

Outcome of open versus endoscopic approach for the surgical treatment of carpal tunnel syndrome.

作者信息

van den Bekerom Michel P J, Breemans Eric, Schäffer Karel

机构信息

Gelre Hospitals, Apeldoorn, The Netherlands.

出版信息

Acta Orthop Belg. 2006 Jun;72(3):288-95.

PMID:16889140
Abstract

The authors retrospectively evaluated two comparable groups of patients who underwent either open (103 patients) or endoscopic decompression (86 patients) of the carpal tunnel with the two portal technique. There were 95 patients available for follow-up in the open group and 79 in the endoscopic group. The average follow-up period was 38 months (range: 12 to 60). Each patient received a questionnaire in order to determine if there was any difference in severity of symptoms and functional status, patient satisfaction and time to return to activities of daily living. The questionnaire also focused on complications and on readiness to undergo the same operation again. There was no significant difference between the two techniques in any of the outcome measurements.

摘要

作者回顾性评估了两组采用双门技术进行腕管切开减压术(103例)或内镜减压术(86例)的可比患者。开放手术组有95例患者可供随访,内镜手术组有79例。平均随访期为38个月(范围:12至60个月)。为确定两组患者在症状严重程度、功能状态、患者满意度以及恢复日常生活活动的时间方面是否存在差异,每位患者均收到一份调查问卷。该问卷还关注并发症以及再次接受相同手术的意愿。在任何一项结果测量中,两种技术之间均无显著差异。

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