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Updated: Aug 5, 2026

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Structured Motor Rehabilitation After Selective Nerve Transfers
Published on: August 15, 2019
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在主要手腕道释放后的早期修订率
Jack G Graham1, Kyle J Plusch1, Bryan A Hozack1
1Division of Hand & Wrist Surgery, Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, PA.
Journal of hand surgery global online
|June 16, 2023
概括
这项研究发现,手腕道释放 (CTR) 手术的修订率低至0.2%,明显低于已发表的文献. 开放式和内镜CTR都显示了类似的低修订率,表明有效的初级手术结果.
科学领域:
- 整形外科手术 整形外科手术
- 手术手术手术手术手术
- 临床结果研究研究
背景情况:
- 对于手腕道释放手术 (CTR) 发表的修订率表现出很大的变化,从0.3%到7%.
- 这种修订率显著变化的原因尚未完全理解.
- 了解影响修订率的因素对于改善CTR后患者的治疗结果至关重要.
研究的目的:
- 确定一个学术机构在初级CTR后1-5年内进行外科修改的比率.
- 为了将观察到的修订率与现有文献中报告的率进行比较.
- 为了确定任何观察到的修订率差异的潜在解释.
主要方法:
- 在2015年10月至2020年10月期间进行的11,847个初级CTR程序的回顾性审查.
- 使用CPT和ICD-10代码识别修订CTR病例.
- 对手术报告和临床笔记的审查,以确定修订的原因,并收集有关患者人口统计学,手术技术 (开放式和内镜) 和并发性疾病的数据.
主要成果:
- 总共分析了11,847个初级CTR程序,确定了24个修订程序,产生了0.2%的修订率.
- 开放式CTR的修订率为0.23% (22/9,422),单门内镜CTR的修订率为0.08% (2/2,425).
- 从初级CTR到修订的平均时间为436天.
结论:
- 观察到的0.2%的修订率远低于文献中先前报告的修订率.
- 在开放式和单门内镜初级CTR技术之间没有发现修订率的显著差异.
- 这些发现表明,与一般文献相比,在这个学术实践中,CTR的修订率可能更低,尽管没有考虑患者外移.
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