桡骨远端骨折患者预防性腕管松解术后腕管综合征发生率的系统评价与汇总分析
Systematic review and pooled analysis of the rate of carpal tunnel syndrome after prophylactic carpal tunnel release in patients with a distal radius fracture.
作者信息
Al-Amin Z, Senyürek S A, Van Lieshout E M M, Wijffels M M E
机构信息
Trauma Research Unit, Department of Surgery, Erasmus MC, University Medical Center Rotterdam, P.O. Box 2040, 3000 CA Rotterdam, The Netherlands.
Trauma Research Unit, Department of Surgery, Erasmus MC, University Medical Center Rotterdam, P.O. Box 2040, 3000 CA Rotterdam, The Netherlands.
出版信息
Hand Surg Rehabil. 2018 Jun;37(3):155-159. doi: 10.1016/j.hansur.2018.02.004. Epub 2018 Mar 24.
The aim of this study was to determine the rate of carpal tunnel syndrome (CTS) in patients with a volar plated distal radius fracture (DRF), with or without prophylactic carpal tunnel release (CTR). The PubMed database was searched for studies reporting on CTS in patients with a DRF fixed by a volar plate. Selected patients were those who underwent prophylactic CTR versus patients who did not. Pooled rates of CTS were calculated using inverse - variance weighting assuming a random effects model. Tests for heterogeneity were applied. In this study, 172 patients in the CTR group and 1839 patients in the non-CTR group were included. The pooled rate for CTS in the CTR group was 28.1% (95% CI: 11.8% to 48.2%) while it was 4.4% (95% CI: 3.1% to 6.0%) in the non-CTR group. CTR is of no prophylactic value for postoperative CTS in volar plated DRF patients.
本研究旨在确定掌侧钢板固定的桡骨远端骨折（DRF）患者（无论是否进行预防性腕管松解术（CTR））的腕管综合征（CTS）发生率。检索PubMed数据库，查找有关掌侧钢板固定DRF患者CTS的研究报告。入选患者为接受预防性CTR的患者与未接受预防性CTR的患者。采用随机效应模型，通过逆方差加权计算CTS的合并发生率。应用异质性检验。本研究纳入了CTR组的172例患者和非CTR组的1839例患者。CTR组CTS的合并发生率为28.1%（95%可信区间：11.8%至48.2%），而非CTR组为4.4%（95%可信区间：3.1%至6.0%）。对于掌侧钢板固定DRF患者术后CTS，CTR没有预防价值。
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