腕管综合征的一站式手术是否安全？哥本哈根一家神经外科单位的回顾性长期随访研究。
Is one-stop surgery for carpal tunnel syndrome safe? A retrospective long-term follow-up study in a neurosurgical unit in Copenhagen.
作者信息
Jørgensen Louise Møller, Piil Karin, Bashir Asma, Larsen Morten Bo, Poggenborg Pamela Santiago, Bjørck Sebastian, Fugleholm Kåre
机构信息
Department of Neurosurgery, University Hospital of Copenhagen, Rigshospitalet, Blegdamsvej, Denmark.
Neurobiology Research Unit, University Hospital of Copenhagen, Rigshospitalet, Blegdamsvej, Denmark.
出版信息
BMJ Open. 2017 Sep 25;7(9):e016103. doi: 10.1136/bmjopen-2017-016103.
OBJECTIVES
The aim of this study was to evaluate one-stop surgery (OSS) for carpal tunnel syndrome (CTS) regarding symptom relief and patient satisfaction. OSS in our setting means only one visit to the hospital for surgery and no hospital appointments for preassessment or follow-up. We hypothesised that relief of symptoms with OSS is comparable with that in non-OSS patients reported in the literature.
DESIGN
This is a long-term retrospective follow-up study (56.5 months) of 1003 patients referred for CTS and discharged with or without surgery from an OSS clinic. Of the original cohort, 671 patients completed the long-term follow-up telephone interview.
RESULTS
Two-thirds of the patients were free of even minor symptoms following surgery. The symptom relief and patient satisfaction in this study were comparable with results in non-OSS patients reported in the literature.
CONCLUSION
The implementation of a clinical pathway and OSS for the management of CTS was safe with good long-term symptom relief and high patient satisfaction.
目的
本研究旨在评估腕管综合征（CTS）一站式手术（OSS）在缓解症状及患者满意度方面的效果。在我们的研究环境中，OSS意味着仅需到医院就诊一次即可接受手术，无需进行术前评估或随访的医院预约。我们假设OSS缓解症状的效果与文献报道的非OSS患者相当。
设计
这是一项对1003例因CTS转诊至OSS诊所并接受或未接受手术出院的患者进行的长期回顾性随访研究（56.5个月）。在最初的队列中，671例患者完成了长期随访电话访谈。
结果
三分之二的患者术后甚至没有轻微症状。本研究中的症状缓解情况和患者满意度与文献报道的非OSS患者的结果相当。
结论
实施用于管理CTS的临床路径和OSS是安全的，具有良好的长期症状缓解效果和较高的患者满意度。
Zotero 插件