在非上肢手术后,中枢和部神经病变的发生率
Eric J Gullborg1, Kyleen Jan1, Jason H Kim1
1Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL.
Journal of hand surgery global online
|March 9, 2026
概括
手术后的上肢神经病变,包括手腕道综合征 (CTS) 和肘部道综合征 (CuTS),在ACDF,THA和TKA等手术后发生在0.93%的患者中. ACDF组的发病率较高,这表明系统性因素有助于神经病变的发展.
科学领域:
- 整形外科 整形外科 整形外科
- 神经学 神经学
- 手术结果研究研究.
背景情况:
- 带道综合征 (CTS) 和肘部道综合征 (CuTS) 是常见的神经疾病.
- 这些神经病变通常与上肢手术或全身健康问题有关.
研究的目的:
- 为了确定前椎间盘切除和融合 (ACDF),全关节整形术 (THA) 和全膝关节整形术 (TKA) 后的CTS和CuTS发病率.
- 探索手术后的上肢神经病与外科手术期间的全身反应,患者特异性风险因素或两者有关.
主要方法:
- 在2015年至2025年期间,对49752名接受ACDF,THA或TKA治疗的患者进行了回顾性审查.
- 基于临床表现和电诊断测试的术后CTS/CuTS的鉴定.
- 在患者队伍中比较人口统计,诊断,手术和临床结果.
主要成果:
- 共有463名患者 (0.93%) 患有CTS和/或CuTS.
- 与TKA (0.88%) 和THA (0.82%) 相比,ACDF队列的发病率最高 (3.05%).
- 最常见的诊断是CTS (78%),其次是CuTS (11%) 和组合病例 (11%).
结论:
- 上肢神经病变可能发生在非上肢手术后,特别是ACDF.
- 神经病变的时间和模式表明,外科手术期间的系统性和患者层面的因素是显著的贡献者.
- 局部手术效应似乎对这些神经病变的发展的影响较小.
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