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[手术治愈手部麻木。腕管减压术的长期随访]

[Surgery cures numbness of the hand. Long-term follow-up of carpal tunnel decompression].

作者信息

Boström L, Lugnegård H

机构信息

Handkirurgiska kliniken, Sabbatsbergs sjukhus, Stockholm.

出版信息

Lakartidningen. 1990 Aug 8;87(32-33):2497-500.

PMID:2398766
Abstract

One hundred and ninety-one hands with suspected carpal tunnel syndrome (CTS) were treated with surgical decompression of the median nerve. In a retrospective analysis 2.5-3 years later, an inquiry was carried out by questionnaire and the patients' records were examined to evaluate the final outcome. The questionnaire was answered by all 158 still living patients (ie, 175 hands), of whom 91 per cent reported numbness in the hand to have been completely relieved after surgery, while 23 per cent had had a recurrence of numbness, or other hand problems not clearly related to CTS, though just under half of this 23 per cent reported their symptoms to be milder than prior to operation. Thus, 2.5-3 years after surgical intervention, 85 per cent of the patients had recovered completely or improved; and 96 per cent were satisfied with the outcome. To conclude, surgical treatment of CTS is a technically simple operation with good final results.

摘要

191例疑似腕管综合征(CTS)患者接受了正中神经手术减压治疗。在2.5至3年后的回顾性分析中,通过问卷调查进行了询问,并检查了患者记录以评估最终结果。所有158名仍在世的患者(即175只手)回答了问卷,其中91%报告手部麻木在手术后已完全缓解,而23%出现了麻木复发或其他与CTS无明确关联的手部问题,不过在这23%中,不到一半的人报告其症状比手术前有所减轻。因此,手术干预2.5至3年后,85%的患者已完全康复或有所改善;96%的患者对结果满意。总之,CTS的手术治疗是一种技术上简单的手术,最终效果良好。

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