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临床,电生理学和手术内分析以及对持久和复发性手腕道综合征的修复手术的术后成功
Quincy Jones1, Elise E Hill2, Andrew Li3
1University of California Davis School of Medicine, Sacramento, California.
Eplasty
|October 30, 2024
概括
修复手腕道手术可以改善许多患者的症状,不完全的横侧手腕带释放是失败的初级手术的常见原因. 诊断依赖于特定的临床症状.
科学领域:
- 整形外科 整形外科 整形外科
- 神经外科 神经外科
- 手术手术手术手术手术
背景情况:
- 管综合征 (CTS) 可能是复发性或持久性,需要进一步调查.
- 一次性手腕道释放失败需要了解潜在的原因和诊断指标.
研究的目的:
- 审查复发性或持续性CTS的迹象和症状.
- 为了检查失败的初级手腕道释放的原因和修复手术的结果.
主要方法:
- 对29名患者进行的30次手腕道修复手术的回顾性审查.
- 在手术后至少1年评估的外科发现和患者的结果.
主要成果:
- 34%的患者症状完全消失,58%的患者在修复手术后报告改善.
- 失败的常见原因包括横带不完全释放 (20例) 和纤维化 (20例).
- 诊断指标包括Phalen标志 (67%),绑架者pollicis brevis弱点 (77%) 和戒指感官分裂 (63%).
结论:
- 费伦标志,绑架者pollicis brevis强度和戒指感觉是CTS的关键诊断发现.
- 持久性CTS经常是由于横带的不完全分裂.
关键词:
经常出现的手腕道综合征手的手.
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