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Updated: Jan 20, 2026

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Metacarpal Small Incision for Carpal Tunnel Syndrome
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患者报告的接受手腕道释放并发症的风险
Dafang Zhang1,2, Brandon E Earp1,2, Kyra A Benavent1
1Department of Orthopaedic Surgery, Brigham and Women's Hospital, 75 Francis St, Boston, MA, 02115, USA.
Journal of hand and microsurgery
|January 19, 2026
概括
接受手腕道释放手术的患者接受的风险明显高于实际的并发症率. 手术前症状的严重程度会影响患者接受手术后果的风险.
科学领域:
- 整形外科手术 整形外科手术
- 患者报告的结果
- 手术风险评估手术风险评估
背景情况:
- 带道释放 (CTR) 是一种常见的程序,已知并发症.
- 目前尚不清楚患者接受风险与实际手术风险之间的关系.
研究的目的:
- 为了调查患者接受CTR并发症的风险.
- 识别与接受更高风险相关的因素.
- 探索PROMIS分数与接受风险之间的相关性.
主要方法:
- 对47名接受迷你开放CTR的成年患者进行了前性,横截面研究.
- 标准化问卷评估感染,持续症状和神经/血管损伤的可接受风险百分比.
- 收集了PROMIS上肢,疼痛干扰和疼痛强度得分.
主要成果:
- 接受风险的中位数:感染为30%,持续症状为40%,神经/血管损伤为20%.
- 糖尿病与接受神经/血管损伤风险较高有关.
- 较低的PROMIS上肢和较高的PROMIS疼痛干扰得分与增加的风险接受度有很弱的相关性.
结论:
- 患者对CTR并发症的自我报告风险接受超过了实际风险.
- 手术前的手腕道综合征症状严重程度会影响接受手术并发症的风险和症状的持续性.
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