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创伤后手腕道综合征的发生率在经受伤的伤害后
Christopher M Dussik1, Amy Phan1, Jeffrey Coombs1
1University of Rochester, NY, USA.
概括
与非手术治疗相比,经过手术治疗的膜损伤患手腕道综合征 (CTS) 的风险明显更高. 这凸显了考虑这些手腕损伤的保守治疗选择的重要性.
科学领域:
- 整形外科手术 整形外科手术
- 创伤学 创伤学 创伤学
- 手部手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手 ...
背景情况:
- 围性损伤是严重的手腕损伤,可能会导致长期并发症.
- 创伤后手掌道综合征 (CTS) 是一种已知的并发症,但其发生率在周周损伤后是可变的.
- 了解这些损伤后CTS的风险因素对于患者的治疗结果至关重要.
研究的目的:
- 为了评估创伤后CTS的发病率和风险,在经受伤后.
- 为了比较非手术和手术治疗的患者之间的CTS风险.
主要方法:
- 来自TriNetX数据库 (2010-2023) 的5167个骨损伤的回顾性分析.
- 根据CPT代码,患者被分为非手术和手术组.
- 使用ICD和CPT代码确定了CTS诊断和手腕道释放 (CTR) 率.
主要成果:
- 运营管理与在一年内CTS诊断率 (23%) 和CTR (37.8%) 的显着较高率有关.
- 非手术管理显示,CTS诊断率 (3.4%) 和CTR (3.6%) 较低.
- 经过外科手术治疗的膜损伤患者患有CTS的风险大大增加.
结论:
- 在一年内,大约13%的膜损伤导致了CTS.
- 经过手术治疗的患者被诊断患有CTS的频率高达7倍,并且接受CTR的频率高于非手术治疗患者的10倍.
- 无手术治疗膜损伤似乎有较低的风险发展创伤后CTS.
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