对轻度至中度的阴茎道综合征进行手术决策
Ikenna C Onyekwere1, Christian Victoria1, Arin Kim1
1Hand and Upper Extremity Service, Hospital for Special Surgery, New York, NY.
Journal of hand surgery global online
|May 31, 2024
概括
预测管综合征 (CuTS) 的手术是很困难的. 电子诊断的严重程度是关键预测因素,但患者报告的损伤可能进一步细化轻度至中度病例的手术决定.
科学领域:
- 整形外科手术 整形外科手术
- 神经学 神经学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 部神经病的治疗缺乏明确的指导方针.
- 鉴定轻度至中度的阴茎道综合征 (CuTS) 的手术候选人是具有挑战性的,因为细微的症状.
研究的目的:
- 确定麦高温轻度或中度CuTS患者手术干预的预测因素.
- 为了改善CuTS的治疗决策.
主要方法:
- 从2016年3月到2022年7月,对73名轻度/中度CuTS患者 (103个肘部) 的回顾性研究.
- 同时进行了电诊断和超声波评估.
- 多变量逻辑回归分析了手术治疗的预测因素.
主要成果:
- 在电子诊断严重的CuTS病例中,手术治疗的几率是手术治疗的3.7倍 (aOR=3.7,P=.03).
- 积极的电诊断结果 (例如,运动神经传导速度<50 m/s) 与手术有关.
- 超声波在29/59个电诊断正常病例中发现了CuTS.
结论:
- 仅靠客观发现,预测轻度/中度CuTS手术需要的能力就有限了.
- 患者报告的损伤可能有助于指导手术决策.
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