Department of Orthopedics, The First Affiliated Hospital of USTC Anhui Provincial Hospital, No. 17 of Lujiang Road, Hefei, China.
Int J Clin Pract. 2022 Oct 21;2022:4082618. doi: 10.1155/2022/4082618. eCollection 2022.
The aim of this study was to compare the therapeutic effects of the mini-open incision and conventional open surgery for carpal tunnel syndrome (CTS).
The clinical data of 52 patients with CTS treated at the First Affiliated Hospital of the University of Science and Technology of China from October 2020 to February 2022 were retrospectively analyzed. The patients were divided into the conventional open surgery group (28 cases) and the mini-open incision group (24 cases) according to different surgical incisions applied. The incision length, operation time, time until postoperative return to work, and complications were observed in the two groups. The Visual Analog Scale (VAS) for pain at one day, one month, and three months after surgery and the Boston Carpal Tunnel Questionnaire scores before, at one month, and at three months after surgery were compared between the two groups.
The incision length, operation time, and time until return to work in the mini-open incision group were all shorter than those in the conventional open surgery group (2.58 ± 0.35 vs. 7.32 ± 0.61 cm, 18.67 ± 2.62 vs. 29.46 ± 3.42 min, and 5.33 ± 1.40 vs. 13.86 ± 2.70 d, respectively), and differences were statistically significant ( < 0.05 in all). The VAS scores in the mini-open incision group were lower than those in the conventional open surgery group at one day and one month after surgery, while the difference in the VAS scores at three months after surgery was not statistically significant between the two groups. There was no statistically significant difference in neurological recovery between the two groups at postoperative follow-ups ( > 0.05). The incidences of postoperative scar hyperplasia and scar pain were higher in the conventional open surgery group than those in the mini-open incision group, and differences were statistically significant ( < 0.05 in both).
Mini-open incision surgery for CTS was a safe and reliable procedure with a precise therapeutic effect, minimal surgical trauma, and high postoperative comfort for patients and could achieve enhanced recovery. . This trial is registered with ChiCTR2200064631.
本研究旨在比较微创小切口与传统开放式手术治疗腕管综合征（CTS）的疗效。
回顾性分析 2020 年 10 月至 2022 年 2 月中国科学技术大学第一附属医院收治的 52 例 CTS 患者的临床资料，根据不同的手术切口分为传统开放式手术组（28 例）和微创小切口组（24 例）。观察两组患者的切口长度、手术时间、术后恢复工作时间及并发症。比较两组患者术后 1 天、1 个月和 3 个月的视觉模拟评分（VAS）和术前、术后 1 个月和 3 个月的波士顿腕管问卷评分。
微创小切口组的切口长度、手术时间和恢复工作时间均短于传统开放式手术组（2.58±0.35cm 比 7.32±0.61cm、18.67±2.62min 比 29.46±3.42min、5.33±1.40d 比 13.86±2.70d），差异均有统计学意义（均<0.05）。微创小切口组术后 1 天和 1 个月的 VAS 评分低于传统开放式手术组，术后 3 个月的 VAS 评分差异无统计学意义。两组术后随访时神经恢复情况比较，差异无统计学意义（均>0.05）。传统开放式手术组术后瘢痕增生和瘢痕疼痛的发生率高于微创小切口组，差异均有统计学意义（均<0.05）。
微创小切口治疗 CTS 是一种安全可靠的方法，疗效确切，手术创伤小，患者术后舒适度高，可实现加速康复。本试验已在中国临床试验注册中心注册，注册号 ChiCTR2200064631。
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