Karjalanen Teemu, Raatikainen Saara, Jaatinen Kati, Lusa Vieda
Department of Hand and Micosurgery, Tampere University Hospital, 33521 Tampere, Finland.
Monash Department of Clinical Epidemiology, Cabrini Institute, Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Malvern, Melbourne 3144, Australia.
J Clin Med. 2022 Feb 11;11(4):950. doi: 10.3390/jcm11040950.
Carpal tunnel syndrome (CTS) is the most common upper extremity compression neuropathy. Non-operative interventions are usually the first-line treatments, and surgery is reserved for those that do not achieve a satisfactory symptom state by non-operative means. This narrative review summarizes the current evidence regarding the efficacy of orthoses, corticosteroid injections, platelet-rich plasma injections, Kinesio taping, neurodynamic techniques, gabapentin, therapeutic ultrasound, and extracorporeal shockwave therapy in people with CTS. While many trials suggest small short-term benefits, rigorous evidence of long-term patient-important benefits is limited. To improve the utility of healthcare resources, research in this area should focus on establishing efficacy of each treatment instead of comparing various treatments with uncertain benefits.
腕管综合征（CTS）是最常见的上肢压迫性神经病变。非手术干预通常是一线治疗方法，手术则适用于那些通过非手术手段无法达到满意症状状态的患者。本叙述性综述总结了目前关于矫形器、皮质类固醇注射、富血小板血浆注射、肌内效贴布、神经松动技术、加巴喷丁、治疗性超声和体外冲击波疗法对腕管综合征患者疗效的证据。虽然许多试验表明有小的短期益处，但长期对患者有重要意义的益处的严格证据有限。为了提高医疗资源的利用效率，该领域的研究应侧重于确定每种治疗方法的疗效，而不是比较各种益处不确定的治疗方法。
