Chang C-W, Wang Y-C, Chang K-F
Department of Physical Medicine and Rehabilitation, National Taiwan University College of Medicine and Hospital, Taipei, Taiwan.
J Hand Surg Eur Vol. 2008 Feb;33(1):32-7. doi: 10.1177/1753193408087119.
In the present study, we illustrate the use of an electrophysiological classification as a guide to the treatment of carpal tunnel syndrome (CTS). A total of 113 CTS patients were assessed with symptom severity scores, hand functional scores and electrophysiological studies. By setting criteria of electrophysiological tests, 179 hands in 113 patients were classified into mild, moderate and severe degrees of CTS. Of these, the 41 hands with severe CTS were referred for surgery. The 58 hands with moderate CTS and 80 hands with mild CTS received conservative treatment. The improvement ratios in the severe group were greater than that in the moderate and mild groups, both at 6 months and at 1 year. Eighteen hands with moderate or mild CTS returned to normal electrophysiology with the conservative treatments. No patient recovered to normal electrophysiology in the severe group. This electrophysiological classification is objective and it may serve as a useful guide for non-surgical and surgical treatment of CTS.
在本研究中，我们阐述了使用电生理分类法作为腕管综合征（CTS）治疗的指导方法。总共113例CTS患者接受了症状严重程度评分、手部功能评分和电生理检查。通过设定电生理测试标准，113例患者的179只手被分为轻度、中度和重度CTS。其中，41只重度CTS的手被转诊进行手术。58只中度CTS的手和80只轻度CTS的手接受了保守治疗。重度组在6个月和1年时的改善率均高于中度和轻度组。18只中度或轻度CTS的手通过保守治疗恢复到正常电生理状态。重度组没有患者恢复到正常电生理状态。这种电生理分类是客观的，它可以作为CTS非手术和手术治疗的有用指导。
