腕管综合征患者开放式松解手术效果的非客观研究

摘要

目的：采用患者源性的非客观功能评价量表评价腕管综合征患者开放式松解手术的疗效。方法对158例实施开放式腕管松解术腕管综合征患者采用Levine腕管综合征问卷调查表、DASH量表、UEFI量表和SF-36量表对患者手术实施前后的生理、心理和社会功能进行非客观评价。结果所有患者均未发生并发症。 Levine问卷调查表和DASH量表手术前后正中神经外膜松解患者和正中神经外膜未松解患者差值比较，差异无统计学意义(P>0．05)，屈肌腱滑膜增生切除患者与屈肌腱滑膜未增生切除患者差值比较，差异无统计学意义(P>0．05)。 Levine问卷调查表的症状和功能评分手术前后差异有统计学意义(P<0．01)，提示腕管功能的改善十分明显。手术前后DASH值差异有统计学意义(P<0．01)，尤其是自信心和手部的精细操作功能的改善最明显(P<0．01)。 UEFI量表评分手术前后差异有统计学意义(P<0．01)，提示上肢功能得到明显改善。 SF-36量表评分显示手术前后9个方面均有显著改善( P<0．05)，其中以自身健康状况的改善最为明显。结论腕管综合征患者实施开放式腕管松解术之后可以显著改善患者的症状，提升上肢的功能，并促进患者心理和社会功能恢复，全面提升患者的生活质量。%Objective To evaluate the effect of carpal tunnel syndrome in patients with open carpal tunnel release u-sing non objective functions derived scale. Methods 158 cases of carpal tunnel syndrome treated with open carpal tunnel release were evaluated with Levine carpal tunnel syndrome questionnaire, DASH scale, UEFI scale and SF-36 scale physiological, psychological and social function of the patients before and after operation for non objective evalu-ation. Results All patients had no complications. Levine questionnaire and DASH scale before and after the opera-tion of median nerve and median nerve epineurium neurolysis patients without loosening outer membrane in patients with difference had no significant difference ( P>0. 05 ); Between flexor tendon synovial hyperplasia resection pa-tients and flexor tendon synovial hyperplasia patients without resection had no significant differences in data difference ( P>0. 05 ) . Symptoms and function of Levine questionnaire score was statistically significant differences in the scores before and after operation (P<0. 01), suggested that carpal tunnel function improved obviously. Operation of DASH value before and after the difference was statistically significant (P<0. 01), especially the most obvious self-confidence and hand fine operation function improvement ( P<0. 01 ) . UEFI score before and after operation, the difference was statistically significant, suggested that the upper limb function were improved significantly ( P <0. 01). UEFI scale score before and after operation had significant difference (P<0. 01), suggested that the upper limb function improved. SF-36 scale score display operation before and after the 9 aspects were improved significantly (P<0. 05), with an improvement in their health was most obvious. Conclusions Carpal tunnel syndrome patients after open carpal tunnel release surgery can significantly improve symptoms, improve upper limb function, and pro-mote the psychological and social function recovery of patients, improve the overall quality of life of patients.