Results of carpal tunnel release
Results of carpal tunnel release
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DOI：
10.1046/j.1468-1331.2003.00663.x
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发表时间：
2003-11-01
影响因子：
5.1
通讯作者：
Oosterloo, SJ
中科院分区：
文献类型：
--
作者：
Prick, JJW;Blaauw, G;Oosterloo, SJ
通过前瞻性研究，我们对188例腕管综合征患者的临床和电生理结果进行了评价。术前和术后（术后6个月和12个月）由患者和外科医生填写问卷，同时进行体格检查、肌电图和神经传导测试。136例患者获得了完整的术前和术后结果，82%的患者对手术结果感到满意。正中神经压迫引起的症状得到了最大的改善，没有发现固定的模式，如果疼痛持续在手腕上，许多患者认为手术是不成功的。所有患者均出现电生理改善，在12个月随访时，21%的病例正中神经传导正常。因此，远端感觉潜伏期在79%的患者中仍然异常，强调在此类病例中诊断为腕管综合征复发时需要谨慎。
We evaluated, by means of a prospective study, the results of carpal tunnel release both clinically and electrophysiologically in 188 patients with a carpal tunnel syndrome. A questionnaire was completed by patient and surgeon pre- and post-operatively (6 and 12 months after operation), when physical examination, electromyography and nerve conduction tests were also performed. Full pre- and post-operative results were available for 136 patients and 82% of the patients were satisfied with the results of the operation. Symptoms caused by median nerve compression showed the greatest improvement and no fixed patterns with regard to unsatisfactory results were found. If pain persisted in the wrist, many patients considered the operation to have been unsuccessful. Electrophysiological improvement occurred in all patients and at 12 months follow-up, median nerve conduction was normal in 21% of cases. Thus distal sensory latency remained abnormal in 79% of the patients, emphasizing the need for caution when recurrence of carpal tunnel syndrome is diagnosed in such cases.