Real-world data on efficacy and safety of 1256 consecutive ultrasound-guided percutaneous carpal tunnel release

IF 2.4 3区医学 Q2 SURGERY

Journal of Plastic Reconstructive and Aesthetic Surgery Pub Date : 2025-04-20 DOI:10.1016/j.bjps.2025.04.029

Jules Descamps , Guillaume Draznieks , Rémy Nizard , Pierre-Alban Bouché , Thomas Apard

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引用次数: 0

Abstract

Purpose

Carpal tunnel syndrome (CTS) is a prevalent condition requiring effective and safe treatment options. This study evaluated the efficacy and safety of ultrasound-guided carpal tunnel release (UCTR) in routine clinical practice. Furthermore, we assessed UCTR outcomes in terms of symptom resolution, patient satisfaction, and complication rates using real-world data extracted via a natural language processing model.

Methods

A retrospective analysis was performed on 926 patients who underwent 1256 UCTR procedures between November 2018 and May 2024. Primary outcomes included the resolution of paresthesia and pain, and secondary outcomes involved strength restoration and patient satisfaction. Complication rates were assessed to evaluate safety. Data accuracy and precision were validated through standardized methods.

Results

Post-UCTR, significant symptom improvement was observed, with paresthesia rates decreasing from 99% (620/626) to 8.5% (79/926) and pain rates from 96% (654/926) to 9% (83/926). Strength restoration was noted, and 95.8% (628/926) of patients reported positive results with the procedure. Safety was demonstrated by a low complication rate of 0.7% (10/1256). Validation demonstrated data accuracy of 96.3% and precision of 100%.

Conclusion

UCTR is a highly effective and safe intervention for CTS that delivers substantial symptom relief, high patient satisfaction, and minimal risk. These findings support the adoption of UCTR in clinical practice. Further prospective studies are recommended to confirm these results and investigate long-term outcomes.

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1256例连续超声引导下经皮腕管释放术的有效性和安全性

目的腕管综合征（CTS）是一种常见的疾病，需要有效和安全的治疗方案。本研究评估超声引导下腕管释放术（UCTR）在常规临床中的有效性和安全性。此外，我们利用自然语言处理模型提取的真实世界数据，从症状缓解、患者满意度和并发症发生率方面评估了UCTR的结果。方法回顾性分析2018年11月至2024年5月期间接受1256例UCTR手术的926例患者。主要结局包括感觉异常和疼痛的缓解，次要结局包括力量恢复和患者满意度。评估并发症发生率以评价安全性。通过标准化方法验证数据的准确性和精密度。结果术后患者症状明显改善，感觉异常率由99%（620/626）降至8.5%(79/926)，疼痛率由96%（654/926）降至9%（83/926）。注意到力量恢复，95.8%（628/926）的患者报告了手术的阳性结果。并发症发生率为0.7%(10/1256)，安全性较低。验证结果表明，数据准确度为96.3%，精密度为100%。结论uctr是一种高效、安全的治疗CTS的干预方法，具有显著的症状缓解、患者满意度高、风险小等优点。这些发现支持在临床实践中采用UCTR。建议进一步的前瞻性研究来证实这些结果并调查长期结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Plastic Reconstructive and Aesthetic Surgery 医学-外科

CiteScore

3.10

自引率

11.10%

发文量

578

审稿时长

3.5 months

期刊介绍： JPRAS An International Journal of Surgical Reconstruction is one of the world''s leading international journals, covering all the reconstructive and aesthetic aspects of plastic surgery. The journal presents the latest surgical procedures with audit and outcome studies of new and established techniques in plastic surgery including: cleft lip and palate and other heads and neck surgery, hand surgery, lower limb trauma, burns, skin cancer, breast surgery and aesthetic surgery.