Mrabet Bahri Dalila, Khiari Hela, Gmati Ahmed, Mizouni Habiba, Meddeb Nihel, Mrabet Amel, Sahli Hela, Sellami Slaheddine
EPS La Rabta, Tunis, Tunisie.
Tunis Med. 2012 Jan;90(1):62-5.
Carpal tunnel syndrome (CTS) is the most frequent ductal syndrome. Few epidemiological studies in Tunisia exist.
To describe clinical, biological and electromyographic data of Tunisian patients with CTS METHODS: A retrospective study including 80 patients with CTS, during the period going from 2009 to 2010.
A female predominance was observed with an average age of 52 years. Acroparesthesia was the main complaint, followed by night awakenings and muscular weakness. Physical examination showed a positive Tinel (91.2%) and Phalen (82.5%) tests, a decrease of tactile sensitivity (26.2%) and a thenar amyotrophy (10%). The Electromyography was abnormal in 85% cases. The most revealing lesions were demyelinating, sensitivo-motor predominance (66%) abnormalities. on Biology, hyperglycemia (12.5%), hyperuricemia (8.7%) and renal failure (7.5%) were the most observed. Medical treatment was drawn on analgesics and anti-inflammatory for 90% of our patients. Local steroid injections were indicated for 35% of patients, leading to a clinical improvement in 90% of cases. Surgery was made in only 13.8% patients.
Tunisian patients with CTS were female patients, housewifes with obesity or overweight. No other differences were observed in comparison with the literature.
腕管综合征（CTS）是最常见的导管综合征。突尼斯的流行病学研究很少。
描述突尼斯腕管综合征患者的临床、生物学和肌电图数据。
一项回顾性研究，纳入了2009年至2010年期间的80例腕管综合征患者。
观察到女性占主导，平均年龄为52岁。肢端感觉异常是主要症状，其次是夜间觉醒和肌肉无力。体格检查显示Tinel试验阳性（91.2%）和Phalen试验阳性（82.5%），触觉敏感性降低（26.2%）和大鱼际肌萎缩（10%）。85%的病例肌电图异常。最显著的病变是脱髓鞘，感觉运动为主（66%）异常。在生物学方面，高血糖（12.5%）、高尿酸血症（8.7%）和肾衰竭（7.5%）最为常见。90%的患者采用镇痛药和抗炎药进行药物治疗。35%的患者接受局部类固醇注射，90%的病例临床症状改善。仅13.8%的患者接受了手术。
突尼斯的腕管综合征患者以女性、肥胖或超重的家庭主妇为主。与文献相比，未观察到其他差异。
