腕管综合征的微创开放手术入路及治疗效果

Minimally Invasive Open Surgical Approach and Outcomes for Carpal Tunnel Syndrome.

作者信息

Yüce İsmail, Kahyaoğlu Okan, Çavuşoğlu Halit, Aydın Yunus

机构信息

Vocational School of Health Services, Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkey.

Acibadem Healthcare Group, Fulya Hospital, Neurosurgery, Istanbul, Turkey.

出版信息

Sisli Etfal Hastan Tip Bul. 2019 Aug 26;53(3):247-251. doi: 10.14744/SEMB.2019.94759. eCollection 2019.

DOI:10.14744/SEMB.2019.94759

PMID:32377090

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7192267/

Abstract

OBJECTIVES

The most common peripheral neuropathy is carpal tunnel syndrome. The present study aims to describe our minimally invasive open surgical approach for carpal tunnel syndrome and evaluate surgical outcomes.

METHODS

We included 217 patients who were operated in our clinic for carpal tunnel syndrome by minimally invasive open surgical approach. Visual Analogue Scale and Functional Outcome Scale scores were obtained preoperative, postoperative at one month and three months to determine surgical outcomes.

RESULTS

The mean age of the patients was 55.4±12.8 years (32 to 69), 175 (80.6%) were women and 42 (19.4%) were men. The assessment of carpal tunnel syndrome's etiology showed that 189 (%87.1%) of the cases were idiopathic, 19 (8.8%) had hypothyroidism, 5 (2.3%) had rheumatoid arthritis and 4 (1.8%) were due to pregnancy. The average improvement of VAS between preoperatively and late postoperatively was 5.41±1.05. The average improvement FOS was 17.44±3.06. They were statistically significant.

CONCLUSION

The minimally invasive open surgical approach for carpal tunnel syndrome (an average of 1 cm skin incision) is performed with local anesthesia and successful surgical outcomes are achieved.

摘要

目的

最常见的周围神经病变是腕管综合征。本研究旨在描述我们针对腕管综合征的微创开放手术方法并评估手术效果。

方法

我们纳入了217例在我们诊所接受微创开放手术治疗腕管综合征的患者。术前、术后1个月和3个月获取视觉模拟量表和功能结果量表评分以确定手术效果。

结果

患者的平均年龄为55.4±12.8岁（32至69岁），175例（80.6%）为女性，42例（19.4%）为男性。对腕管综合征病因的评估显示，189例（87.1%）病例为特发性，19例（8.8%）患有甲状腺功能减退症，5例（2.3%）患有类风湿性关节炎，4例（1.8%）由妊娠引起。术前与术后晚期VAS的平均改善值为5.41±1.05。FOS的平均改善值为17.44±3.06。它们具有统计学意义。