LONG-TERM RESULTS OF CARPAL-TUNNEL DECOMPRESSION - ASSESSMENT OF 60 CASES

被引：62

作者：

HAUPT, WF

WINTZER, G

SCHOP, A

LOTTGEN, J

PAWLIK, G

机构：

[1] Neurological and Surgical Departments, University of Cologne

来源：

JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME | 1993年 / 18B卷 / 04期

关键词：

D O I：

10.1016/0266-7681(93)90149-A

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

The long-term prognosis of 60 patients operated on for carpal tunnel syndrome has been assessed in a prospective study with a median follow-up period of 5.5 years (range 2-11 years). Analysis of motor, sensory, trophic, and electrodiagnostic findings and assessment of pain were performed pre- and post-operatively using a standardized grading system. The results were generally favourable with a variable degree of improvement in 86% of cases. Statistical evaluation using multiple Dunn-Rankin tests revealed pain to be the most prominent pre-operative finding. On post-operative reexamination, pain was found to be improved to a significantly greater extent than any other variable. Analysis of several potential prognostic factors showed that pain lasting for more than 5 years prior to surgery indicates a poor prognosis. Only patients with diabetes mellitus exhibited a trend toward less pain relief.

引用

页码：471 / 474

页数：4

共 15 条

[11]

Shurr, Blair, Bassett, Electromyographic changes after carpal tunnel release, Journal of Hand Surgery, 11 A, 6, pp. 876-880, (1986)

[12]

Stevens, Sun, Beard, O'Fallon, Kurland, Carpal tunnel syndrome in Rochester, Minnesota, 1961 to 1980, Neurology, 38, pp. 134-138, (1988)

[13]

Thomas, Motor nerve conduction in the carpal tunnel syndrome, Neurology, 10, pp. 1045-1050, (1960)

[14]

Thomas, Lambert, Cseuz, Electrodiagnostic aspects of the carpal tunnel syndrome, Archives of Neurology, 16, pp. 635-641, (1967)

[15]

Wintzer, Schop, Reichmann, Haupt, Ein neues Bewertungsschema zur Spätergebnisbeurteilung nach Dekompressionsoperation des N. medianus, Handchirurgie, Mikrochirurgie, plastische Chirurgie, 18, pp. 79-82, (1986)

← 1 2 →