长期患者报告的结局在古伊恩运河的腰椎神经释放后
Ritsaart F Westenberg1,2,3, Daphne van Hooven1, Niels W L Schep2
1Massachusetts General Hospital, Boston, USA.
Hand (New York, N.Y.)
|March 29, 2025
概括
大多数患者在管释放 (UTR) 后报告管综合征 (UTS) 的改善. 然而,手术前阴性肌电图和神经传导速度研究 (EMG/NCV) 与较低的长期上肢功能有关.
科学领域:
- 整形外科手术 整形外科手术
- 神经外科 神经外科
- 患者报告的结果
背景情况:
- 管综合征 (UTS) 的诊断和治疗缺乏大量患者报告的结果研究.
- 管释放 (UTR) 是用于UTS的手术减压.
- 本研究旨在描述UTS的原因,UTR发生率以及影响长期结果的因素.
研究的目的:
- 为了确定UTS的UTR发病率.
- 为了确定导致UTR的UTS的原因.
- 为了评估长期患者报告的结果和影响因素后的UTR.
主要方法:
- 对于UTS (2003-2017) 进行UTR的76名成年患者的回顾性图表审查.
- 对30名患者进行了随访问卷,评估PROMIS-UE,NRS疼痛,全球变化评级表和定制的UTS症状.
- 两变量分析以确定与结果相关的因素.
主要成果:
- 在部神经减压手术中,UTR发生率约为3%.
- 腺囊是最常见的原因 (16%).
- 83%的患者报告改善;PROMIS-UE得分平均为46.0,NRS疼痛中位数为0.5.
- 积极的手术前EMG/NCV与更高的PROMIS-UE得分相关 (48比37,P=.04).
结论:
- 在外科医生之间,UTS诊断带来了挑战和变化.
- 大多数患者在UTR后经历了改善.
- 术前负的EMG/NCV结果与UTR后的长期上肢功能下降有关.
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