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腕关节去神经术治疗慢性腕痛的长期疗效

Long-term results of denervation of the wrist joint for chronic wrist pain.

作者信息

Ishida O, Tsai T M, Atasoy E

机构信息

Christine M. Kleinert Institute for Hand and Micro Surgery, Louisville, Kentucky.

出版信息

J Hand Surg Br. 1993 Feb;18(1):76-80. doi: 10.1016/0266-7681(93)90202-q.

Abstract

The results have been evaluated of 29 patients who had wrist denervation for chronic wrist pain between 1979 and 1987. Follow-up ranged from 22 to 86 months (mean 51 months). 17 patients had denervation without a concurrent procedure. Of these, 12% became pain-free and 71% had pain with all activities or had additional surgery; 24% said they were satisfied with their treatment. The results were worse in those who had partial denervation than those who had total denervation. 12 patients had denervation performed concurrently with another pain-relieving procedure. Denervation alone was not reliable in resolving chronic wrist pain.

摘要

对1979年至1987年间因慢性腕部疼痛接受腕部去神经支配术的29例患者的结果进行了评估。随访时间为22至86个月(平均51个月)。17例患者仅接受了去神经支配术,未同时进行其他手术。其中,12%的患者疼痛消失,71%的患者在所有活动时均有疼痛或接受了额外手术;24%的患者表示对治疗满意。部分去神经支配术患者的结果比完全去神经支配术患者更差。12例患者在接受去神经支配术的同时还进行了另一项缓解疼痛的手术。单纯去神经支配术在解决慢性腕部疼痛方面并不可靠。

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