Carpal Tunnel Release for Advanced Disease in Patients 70 Years and Older: Does Outcome from the Patient’s Perspective Justify Surgery?
Carpal Tunnel Release for Advanced Disease in Patients 70 Years and Older: Does Outcome from the Patient’s Perspective Justify Surgery?
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70 岁及以上患者晚期疾病的腕管松解术：从患者的角度来看，结果是否证明手术合理？
DOI：
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发表时间：
2001
影响因子：
1.9
通讯作者：
R. Weiser
中科院分区：
文献类型：
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作者：
M. Tomaino;R. Weiser
由于更晚期的神经压迫可能导致神经内改变，包括内源性纤维化和轴突丢失，我们假设晚期腕管综合征的腕管松解可能不会导致令人满意的症状缓解。我们特别感兴趣的是评估70岁及以上的老年患者，对他们来说，缓解症状是手术的首要目标。我们对13例晚期腕管综合征患者的症状缓解和患者满意度进行了回顾性评估，采用了经验证的自填问卷，发现11例患者的症状最小。虽然腕管松解术不太可能完全消除老年晚期患者的症状，但从患者的角度来看，结果似乎是令人满意的，手术是合理的。
Because more advanced stages of nerve compression are likely to result in intraneural changes including intrinsic fibrosis and axon loss, we hypothesised that carpal tunnel release for advanced carpal tunnel syndrome might not result in satisfactory resolution of symptoms. We were particularly interested in evaluating a population of elderly patients 70 years and older for whom relief of symptoms is the overwhelming objective of surgery. Our retrospective assessment of symptom resolution and patient satisfaction in 13 patients with advanced carpal tunnel syndrome utilized a validated self-administered questionnaire and revealed minimal symptoms in 11 patients. Although carpal tunnel release is unlikely to result in the total elimination of symptoms when performed in elderly patients with advanced disease, outcome from the patient’s perspective appears to be satisfactory and the surgery quite justified.
DOI：
10.2106/00004623-199311000-00002
发表时间：
1993-11-01
影响因子：
5.3
作者：
LEVINE, DW;SIMMONS, BP;KATZ, JN
通讯作者：
KATZ, JN