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肌内痛风导致手腕道综合征:临床特征和拟议的外科手术算法
Saw Sian Khoo1, Yee Chan Chai1, Xiu Wen Ling2
1National Orthopaedic Centre of Excellence for Research and Learning (NOCERAL), Department of Orthopaedic Surgery, Faculty of Medicine, Universiti Malaya, 50603 Lembah Pantai, Kuala Lumpur, Malaysia.
Indian journal of orthopaedics
|October 21, 2025
概括
二次性手腕道综合征 (CTS) 来自内性痛风是罕见的,但可以治疗. 手术管理,包括肌脱,显著改善了受影响患者的手部功能和结果.
科学领域:
- 整形外科 整形外科 整形外科
- 类风湿病学 类风湿病学
- 手术手术手术手术手术
背景情况:
- 肌内甲状腺痛风是一种罕见的二次手腕道综合征 (CTS) 的原因.
- 缺乏手术前诊断和标准化手术管理协议.
- 这项研究调查了与痛风相关的CTS的临床特征和外科治疗结果.
研究的目的:
- 审查手管综合征 (CTS) 的病例,其次是内性痛风.
- 评估手术干预对手部功能的有效性.
- 确定临床指标,并提出痛风CTS的管理策略.
主要方法:
- 从2013年1月到2021年12月,对564次手道释放 (CTR) 的回顾性审查.
- 鉴定出14个手腕患有CTS,与内性痛风有关.
- 使用密歇根州手表结果问卷 (MHQ) 评估手部功能和握力.
主要成果:
- 所有12名患者都是男性,平均年龄为51岁. 大多数人患有痛风,管理不善.
- 发声手腕胀和指部运动受限是常见的 (57%和71%).
- 手术结果显示,治疗后MHQ得分 (41.5至77.5,p<0.001) 显著改善.
结论:
- 男性性别,痛风病史,飞手腕胀和指部运动受限是痛风性CTS的红旗.
- 肌脱和切除显示了类似的临床结果.
- 推的第一线管理是CTR与肌脱,然后在必要时切除或重建.
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