腕管松解手术后的长期功能效果和生活质量

3区综合性期刊 Q1 Medicine

International Journal of Environmental Research and Public Health Pub Date : 2024-09-11 DOI:10.3390/ijerph21091203

Yuval Krieger, Mai Ofri, Gali Sagi, Hila Moshe-Noach, Pnina Raiden, Yaron Shoham, Amiram Sagi, Anat Reiner Benaim, Eldad Silberstein

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引用次数: 0

摘要

本研究调查了腕管松解手术（CTR）对患者疗效的长期影响。我们的目标是通过回顾性横断面设计，使用经过验证的波士顿腕管问卷（BCTQ）对参与者进行电话访问，评估手术后至少五年的大量患者（n = 186）的症状严重程度、功能限制和生活质量。BCTQ 可测量腕管综合征的症状严重程度、功能限制和生活质量。73%（73.1%）的患者报告症状和功能限制完全消失（BCTQ = 1），平均随访时间为 11 年。随着时间的推移，BCTQ 分数没有出现统计学意义上的明显下降。单变量分析表明，较差的疗效与手术年龄较大和目前失业有显著关联。腕管松解手术在缓解大多数患者的症状和改善其功能方面具有长期疗效。这些研究结果有助于人们了解腕管松解术对患者福祉的影响，而不仅仅是短期疗效。

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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Long-Term Functional Outcomes and Quality of Life Following Carpal Tunnel Release Surgery

This study investigates the long-term efficacy of carpal tunnel release surgery (CTR) on patient outcomes. We aimed to assess symptom severity, functional limitations, and quality of life in a large cohort (n = 186) at least five years post-surgery via a retrospective cross-sectional design that evaluated participants using the validated Boston Carpal Tunnel Questionnaire (BCTQ) over a phone interview. The BCTQ measures symptom severity, functional limitations, and quality of life specific to carpal tunnel syndrome. Seventy-three percent (73.1%) of patients reported complete resolution of symptoms and functional limitations (BCTQ = 1) with an average follow-up of 11 years. No statistically significant decline in BCTQ scores was observed over time. Univariate analysis revealed a significant association between poorer outcomes and older age at surgery and current unemployment. Carpal tunnel release surgery demonstrates long-term effectiveness in relieving symptoms and improving function in most patients. These findings contribute to the understanding of CTR’s impact on patient well-being beyond short-term outcomes.

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来源期刊

International Journal of Environmental Research and Public Health Medicine-Public Health, Environmental and Occupational Health

CiteScore

7.30

自引率

0.00%

发文量

14422

审稿时长

1 months

期刊介绍： International Journal of Environmental Research and Public Health (IJERPH) (ISSN 1660-4601) is a peer-reviewed scientific journal that publishes original articles, critical reviews, research notes, and short communications in the interdisciplinary area of environmental health sciences and public health. It links several scientific disciplines including biology, biochemistry, biotechnology, cellular and molecular biology, chemistry, computer science, ecology, engineering, epidemiology, genetics, immunology, microbiology, oncology, pathology, pharmacology, and toxicology, in an integrated fashion, to address critical issues related to environmental quality and public health. Therefore, IJERPH focuses on the publication of scientific and technical information on the impacts of natural phenomena and anthropogenic factors on the quality of our environment, the interrelationships between environmental health and the quality of life, as well as the socio-cultural, political, economic, and legal considerations related to environmental stewardship and public health. The 2018 IJERPH Outstanding Reviewer Award has been launched! This award acknowledge those who have generously dedicated their time to review manuscripts submitted to IJERPH. See full details at http://www.mdpi.com/journal/ijerph/awards.