在双侧手腕道开放手术中选择的比较分析:一个随机对照试验
Jessica Leary1, Chris Frampton2,3, Andrew Muller4
1Department of Orthopaedic Surgery, Taranaki Base Hospital, New Plymouth, New Zealand.
ANZ journal of surgery
|March 4, 2025
概括
对于开放的手腕道减压,可吸收和不可吸收的并没有显示出结果或患者偏好的显著差异. 这两种 suture 类型都为手腕道手术提供了有效的皮肤闭合.
科学领域:
- 整形外科手术 整形外科手术
- 整形外科 整形外科 整形外科
- 手术手术手术手术手术
背景情况:
- 手腕道综合征 (CTS) 是一种常见的疾病,需要手术干预.
- 开放的手腕道减压是一种标准的外科手术程序.
- 皮肤封闭的材料选择可能会影响患者的结果和满意度.
研究的目的:
- 为了比较可吸收与不可吸收的疗效,在开放的手腕道解压时,皮肤关闭.
- 为了评估患者报告的结果,疼痛,伤口愈合和痕之间的差异.
主要方法:
- 一项随机对照试验 (RCT) 涉及双边CTS患者进行分阶段开放的手掌解压.
- 随机选择可吸收 (Vicryl Rapide) 或不可吸收 (Prolene) 的 sutures用于皮肤封闭.
- 评估波士顿手腕道问卷 (BCTQ) 评分,疼痛视觉模拟量表 (VAS),无性伤口评分以及患者和观察者痕评估量表 (POSAS) 在各种术后间隔.
主要成果:
- 对于总体评估,并发症或患者偏好而言,在可吸收和不可吸收 sutures 之间没有观察到统计学上显著的差异.
- 在术后观察到BCTQ得分的显著改善 (P = 0.001).
- 诸如先前的类固醇注射,糖尿病和65岁以上的年龄等因素并没有影响结果.
结论:
- 可吸收和不可吸收的 sutures 是同样有效的皮肤关闭在开放的手掌道减压.
- 患者可以放心,任何一种接类型都会产生可比的结果.
- 接材料的选择似乎不会影响手腕道手术的整体成功.
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