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相關文獻
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題 名 | 以單孔內視鏡減壓手術應用於腕隧道症候群的臨床結果:197件病例分析=Single-portal Endoscopic Release in Carpal Tunnel Syndrome: Analysis of Clinical Results in 197 Cases |
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作 者 | 高振興; 黃淑莉; 柯德鑫; | 書刊名 | 中華職業醫學雜誌 |
卷 期 | 12:1 2005.01[民94.01] |
頁 次 | 頁51-57 |
分類號 | 416.615 |
關鍵詞 | 腕隧道症候群; 內視鏡減壓手術; 單孔減壓; 正中神經; Carpal tunnel syndrome; Endoscopic carpal tunnel release; Single-portal release; Median nerve; |
語 文 | 中文(Chinese) |
中文摘要 | 目的:腕隧道症候群(CTS)是一種普遍因工作所引發職業傷害的疾病及導致工作失能的主要原因之一,且近年來內視鏡減壓手術(ECTR)因有較好的治療結果而開始取代傳統手術方式。因此,本研究的目的是想了解國人在接受單孔ECTR手術後其臨床結果的改善程度。 材料與方法:在1998/4~2003/9共計有211人或235件病例接受ECTR的手術治療,在排除不適當的對象後,不追蹤到177任患者或197個病例,平均追蹤的時間為25.89個月,追縱率達84%。 結果:研究期間接受ECTR的男女比例為1:4,且女性的十均年齡(49.78歲)比男性的平均年齡(55.38)少5.6歲(P=.002<.05),在接受手術治療後其症狀改善程度有高達九成以上的患者均能改善術前80%的臨床症狀,且有65%的病人在1個月內即能返回工作崗位。該手術則存有2.5%的潛在復發風險。 結論:以單孔內視鏡減壓手術來治療腕隧道症候群的效果,其優點包括較少的術後復發率、較快恢復力氣、減少失能狀態及較為美觀的術後傷口。 |
英文摘要 | BACKGROUND: Carpal tunnel syndrome (CTS) is one of the most common work-related injuries and a leading cause of work disability. Based on the literature data in the last ten years the endoscopic carpal tunnel release (ECTR) seems to be an advantageous alternative method in the treatment of CTS. The purpose of this study was to investigate the long-term results of ECTR. PATIENTS AND METHOD: A total of 211 patients (235 hands) underwent ECTR between April 1998 and May 2003. Among them, 177 patients (197 hands) who were followed for 25.89 months (following rate was 84%) were studies. RESULTS: The ratio for male to female in our study is 1:4 and the average age for women (49.8 years) is younger by 5.6 years than for men (44.2 years) (P=.002<.05). Ninety-five percent of patients who underwent ECTR can be improved 80% preoperative syndromes and 65% of then can return to work within one month. There is a 2.5% potential recurrent rate for ECTR. CONCLUSIONS: Patients who underwent ECTR demonstrate a less postop- erative recurrent rate, more rapid recovery of strength, less disability and better cosmetic result. |
本系統中英文摘要資訊取自各篇刊載內容。