Fowler John R, Chung Kevin C, Miller Larry E
Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Section of Plastic Surgery; Department of Surgery, University of Michigan Comprehensive Hand Center, the University of Michigan Health System, Ann Arbor, MI, USA.
Expert Rev Med Devices. 2022 Mar;19(3):273-280. doi: 10.1080/17434440.2022.2048816. Epub 2022 Mar 10.
To report outcomes of patients who underwent carpal tunnel release with ultrasound guidance (CTR-US) in routine clinical practice.
This was a multicenter post-market registry of patients treated with CTR-US. Main outcomes included the Quick Disabilities of Arm, Shoulder, and Hand Questionnaire (QDASH), Boston Carpal Tunnel Questionnaire Symptom Severity Scale (BCTQ-SSS) and Functional Status Scale (BCTQ-FSS), return to normal activities, return to work, and complications.
Of 535 patients who provided follow-up data, 373 (70%) were followed for 6 months post-treatment. Among these 373 patients (427 hands, mean age 55 years, 71% female), QDASH scores decreased by 30.8 points, BCTQ-SSS scores decreased by 1.6 points, and BCTQ-FSS scores decreased by 1.0 points at 6 months (all p < 0.001). The median time to return to normal activities was 3 days and time to return to work was 5 days. Subgroup analysis revealed consistent outcomes regardless of age group, sex, body mass index, diabetes, tobacco use, worker compensation status, or procedure type (unilateral/bilateral simultaneous). No major neurovascular complications were reported.
Patients treated with CTR-US reported clinically meaningful improvements in symptoms and function, rapid return to normal activities, and minimal work absenteeism, with an excellent safety profile.
报告在常规临床实践中接受超声引导下腕管松解术（CTR-US）的患者的治疗结果。
这是一项关于接受CTR-US治疗的患者的多中心上市后注册研究。主要结果包括手臂、肩部和手部快速残疾问卷（QDASH）、波士顿腕管问卷症状严重程度量表（BCTQ-SSS）和功能状态量表（BCTQ-FSS）、恢复正常活动情况、恢复工作情况以及并发症。
在535例提供随访数据的患者中，373例（70%）在治疗后随访了6个月。在这373例患者（427只手，平均年龄55岁，71%为女性）中，6个月时QDASH评分下降了30.8分，BCTQ-SSS评分下降了1.6分，BCTQ-FSS评分下降了1.0分（所有p<0.001）。恢复正常活动的中位时间为3天，恢复工作的时间为5天。亚组分析显示，无论年龄组、性别、体重指数、糖尿病、吸烟情况、工伤赔偿状态或手术类型（单侧/双侧同时进行），结果均一致。未报告重大神经血管并发症。
接受CTR-US治疗的患者在症状和功能方面有临床意义的改善，能快速恢复正常活动，缺勤最少，且安全性良好。
