开放式腕管松解术治疗腕管综合征疗效的主观评价  

Subjective outcome evaluations following open carpal tunnel release

作　　者：季伟[1] 陈振兵[1] 黄启顺[1] 翁雨雄[1] 李涛[1] 陈江海[1] 陈燕花[1] 李进[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院手外科,武汉430022

出　　处：《中华手外科杂志》2014年第2期118-120,共3页Chinese Journal of Hand Surgery

基　　金：2008年国家自然科学基金（编号：30872627）;2012年国家自然科学基金（编号：81271967）

摘　　要：目的采用主观功能评价量表评价传统腕管切开松解减压术治疗腕管综合征（CTS）的疗效。方法2008年4月至2011年10月，采用开放式腕管切开松解手术治疗CTS患者26例，术前及术后至少6个月采用4种主观功能评价量表（Levine腕管综合征症状及功能问卷调查表、DASH量表、UEFI量表及SF-36量表）对患者手部症状与功能、心理及社会功能进行评定。结果Levine症状及功能评分值、DASH值、UEFI量表评分值术后分别为1．41±0．54（术前2．90±0．87）、1．28±0．39（术前2．58±1．19）、9．01±15．29（术前30．61±18．12）、73．92±10．29（术前57．27±16．26）；SF-36量表各评分值较术前均有明显改善，其中以心理、社会功能的改善更突出；症状方面以钝痛及夜间症状的改善更显著，功能方面手部精细活动较力量型活动改善显著。结论开放式腕管松解术能明显缓解患者的症状，显著改善手部功能，促进心理及社会功能的康复，全面提升生活质量。Objective To evaluate the effects of open carpal tunnel decompression performed on patients with carpal turmel syndrome （CIS）, using subjective questionnaires. Methods Open carpal tunnel release procedure was performed in 26 CIS patients from April 2008 to October 2011. Four questionnaires （Levine, DASH, UEFI and SF-36） were adopted preoperatively and at least 6 months after the surgery to assess the symptoms and function of the hands as well as psychosocial function of the patients. Results The postoperative mean Levine symptom-severity score, Levine functional-status score, DASH score and UEFI score were 1.41 ± 0.54 （2.90 ± 0.87 preoperatively）, 1.28 ± 0.39 （2.58 ± 1.19 preoperatively）, 9.01 ± 15.29 （30.61 ± 18.12 preoperatively）, and 73.92 ± 10.29 （57.27 ±16.26 preoperatively）. All categories of SF-36 scores showed obvious improvements, among which improvements of the psychological and social function were most remarkable. Numbness and nocturnal symptoms were ameliorated significantly. Fine hand motor functions were improved more notably than gross movement of the upper limbs. Conclusion Open carpal tunnel decompression can significantly alleviate the symptoms, improve hand functions, promote rehabilitation of psychosecial functions and enhance the quality of life of CIS patients.

关 键 词：腕管综合征 随访研究 开放式腕管松解术 Levine量表 DASH量表 SF-36量表 UEFI量表 

分 类 号：R688[医药卫生—骨科学]