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同时行腕管和肘管松解术:四隧道松解术。

Simultaneous Bilateral Carpal and Cubital Tunnel Releases: Quadruple Tunnel Release.

出版信息

Orthopedics. 2020 Nov 1;43(6):e592-e594. doi: 10.3928/01477447-20200910-05. Epub 2020 Sep 22.

DOI:10.3928/01477447-20200910-05
PMID:32956471
Abstract

The authors retrospectively reviewed the first 30 patients who underwent bilateral simultaneous carpal and cubital releases (quadruple tunnel release). Patients were asked to complete a questionnaire over the phone regarding their satisfaction with the procedures and willingness to make the same choice of bilateral carpal and cubital releases simultaneously, as well as the time to return to unrestricted use. Of 24 patients who responded to the questionnaire, 23 (95.8%) were satisfied or highly satisfied with their care, and 23 (95.8%) would again choose to have release of the 4 tunnels simultaneously. Time to unrestricted use in this patient cohort averaged 27 days. Quadruple tunnel release is technically feasible and well tolerated. This procedure has the potential to save considerable amounts of recuperation time and is less expensive than performing 4 individual procedures for patients who have bilateral carpal and bilateral cubital tunnel syndrome. [Orthopedics. 2020;43(6):e592-e594.].

摘要

作者回顾性分析了前 30 例行双侧腕管和肘管同时松解术(四隧道松解术)的患者。通过电话询问患者对手术的满意度以及是否愿意再次选择双侧腕管和肘管同时松解术,同时询问其恢复无限制使用的时间。在回答问卷的 24 例患者中,23 例(95.8%)对治疗满意或非常满意,23 例(95.8%)会再次选择同时松解 4 个隧道。该患者队列的无限制使用时间平均为 27 天。四隧道松解术在技术上是可行的,且患者耐受性良好。对于双侧腕管和双侧肘管综合征的患者,与进行 4 次单独手术相比,该手术可显著节省康复时间,且费用更低。[骨科。2020;43(6):e592-e594.]。

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