摘要
目的探讨腕管综合征术前严重程度和病程长短与腕管切开减压术疗效的关系。方法自2013年1月至2014年6月收治40例腕管综合征患者，术前根据严重程度和病程长短进行分组，术后按照腕管综合征功能评定标准评价，分析各组患者疗效优良率和优良分布。结果严重程度组优良率：中度95．83％，重度92．31％，差异无统计学意义（P〉0．05）。然而两组的优良分布不同，中度患者术后功能恢复多是优，重度组则是良。病程各组优良率差异无统计学意义（P〉0．05）。统计患者术后恢复情况发现，患者的对掌功能恢复最好，感觉恢复次之，握力恢复最差。结论病程对术后疗效没有影响。中、重度患者手术治疗后手功能均明显改善，但中度患者术后恢复较重度患者更好。此外，患者术后对掌功能恢复情况最好，握力恢复最差。
Objective To investigate the relationship between the severity and duration of preoperative symptoms and the outcomes of carpal tunnel release in patients with carpal tunnel syndrome. Methods Forty patients of carpal tunnel syndrome treated from January 2013 to June 2014 were divided into two groups, namely symptom severity group and symptom duration group, based on the severity and duration of the symptoms. Postoperative recovery of these patients was assessed using carpal tunnel syndrome evaluation criteria after standard carpal tunnel release. The excellent and good recovery rate in each group was calculated. The distribution of excellent and good recovery was analyzed. Results In symptom severity groups the excellent and good recovery rate was 95.83 % in the moderate group and 92.31% in the severe group. The difference was not statistically significant（ P 〉 O. 05）. However distribution of the recovery was quite different, showing more excellent recovery in the moderate group and more good recovery in the severe group. In symptom duration groups the recovery rates were not significantly different（ P 〉0. 05）. Functional recovery of opposition was the best, followed by sensory recovery. Grip strength recovery was the poorest. Conclusion Preoperative duration of the symptoms does not affect the surgical outcomes in carpal tunnel syndrome patients. Surgical release can greatly improve functions in both moderate and severe carpal tunnel syndrome cases although better recovery is seen in moderate cases. Thumb opposition recovers the best, while grip strength recovery is the poorest.
出处
《中华手外科杂志》
CSCD
北大核心
2016年第1期5-7,共3页
Chinese Journal of Hand Surgery
关键词
腕管综合征
治疗结果
病程
严重程度
Carl~ tunnel syndrome
Treatment outcome
Symptom duration
Symptom severity
