目的:利用患者可接受症状状态结合波士顿腕管问卷评分对比患者对自制开窗式透明管道辅助关节镜微创双切口入路与常规开放单切口入路这两种手术方案术后患肢功能状态的满意度,以此来比较这两种手术方案的疗效。方法:通过电话回访进行两个...目的:利用患者可接受症状状态结合波士顿腕管问卷评分对比患者对自制开窗式透明管道辅助关节镜微创双切口入路与常规开放单切口入路这两种手术方案术后患肢功能状态的满意度,以此来比较这两种手术方案的疗效。方法:通过电话回访进行两个PASS锚定问题调查并完成波士顿腕管问卷,对数据进行统计学分析。结果:在平均12 ± 1月的随访中,内镜组PASS(+)患者占总体患者比例大于开放组,且内镜患者的SSS和FSS分数显著低于开放组患者。结论:患者对自制开窗式透明管道辅助关节镜微创双切口入路术后症状状态接受程度较高。Objective: To compare the postoperative functional outcomes and patient satisfaction between two surgical approaches for carpal tunnel syndrome—self-made fenestrated transparent cannula-assisted endoscopic minimally invasive double-incision approach and conventional open single-incision approach—using Patient Acceptable Symptom State (PASS) combined with Boston Carpal Tunnel Questionnaire (BCTQ) scores. Methods: A telephone follow-up was conducted to administer two PASS anchor questions and complete the BCTQ. Data were analyzed statistically to evaluate differences in symptom severity, functional status, and patient-reported satisfaction. Results: At a mean follow-up of 12 ± 1 months, the proportion of PASS(+) patients in the endoscopic group was significantly higher than that in the open group. Additionally, the endoscopic group demonstrated significantly lower Symptom Severity Scale (SSS) and Functional Status Scale (FSS) scores compared to the open group. Conclusion: Patients demonstrated a high level of acceptance toward their postoperative symptom status following the arthroscopic minimally invasive dual-incision approach assisted by a custom-made fenestrated transparent sheath.展开更多
Several papers have identified supplements that may relieve symptoms of carpal tunnel syndrome and improve recovery when carpal tunnel surgery is required. 64 patients with clinically and electromyographically confirm...Several papers have identified supplements that may relieve symptoms of carpal tunnel syndrome and improve recovery when carpal tunnel surgery is required. 64 patients with clinically and electromyographically confirmed carpal tunnel syndrome were enrolled in a prospective study to evaluate the effectiveness of a nerve supplement on patient rated outcome assessment after carpal tunnel surgery. All the patients underwent endoscopic carpal tunnel surgery. 18 patients also took the NeuroGen nerve supplement as part of their perioperative treatment. Both groups demonstrated a statistically significant improvement in BCTQ (both symptoms and function) at 2 weeks follow up. The supplement group demonstrated a statistically significant difference in improvement on the BCTQ (both symptoms and function) compared to the control group without the supplement. The NeuroGen nerve supplement appears to improve recovery on both the symptoms and function component of the BCTQ after endoscopic carpal tunnel surgery within 2 weeks.展开更多
文摘目的:利用患者可接受症状状态结合波士顿腕管问卷评分对比患者对自制开窗式透明管道辅助关节镜微创双切口入路与常规开放单切口入路这两种手术方案术后患肢功能状态的满意度,以此来比较这两种手术方案的疗效。方法:通过电话回访进行两个PASS锚定问题调查并完成波士顿腕管问卷,对数据进行统计学分析。结果:在平均12 ± 1月的随访中,内镜组PASS(+)患者占总体患者比例大于开放组,且内镜患者的SSS和FSS分数显著低于开放组患者。结论:患者对自制开窗式透明管道辅助关节镜微创双切口入路术后症状状态接受程度较高。Objective: To compare the postoperative functional outcomes and patient satisfaction between two surgical approaches for carpal tunnel syndrome—self-made fenestrated transparent cannula-assisted endoscopic minimally invasive double-incision approach and conventional open single-incision approach—using Patient Acceptable Symptom State (PASS) combined with Boston Carpal Tunnel Questionnaire (BCTQ) scores. Methods: A telephone follow-up was conducted to administer two PASS anchor questions and complete the BCTQ. Data were analyzed statistically to evaluate differences in symptom severity, functional status, and patient-reported satisfaction. Results: At a mean follow-up of 12 ± 1 months, the proportion of PASS(+) patients in the endoscopic group was significantly higher than that in the open group. Additionally, the endoscopic group demonstrated significantly lower Symptom Severity Scale (SSS) and Functional Status Scale (FSS) scores compared to the open group. Conclusion: Patients demonstrated a high level of acceptance toward their postoperative symptom status following the arthroscopic minimally invasive dual-incision approach assisted by a custom-made fenestrated transparent sheath.
文摘Several papers have identified supplements that may relieve symptoms of carpal tunnel syndrome and improve recovery when carpal tunnel surgery is required. 64 patients with clinically and electromyographically confirmed carpal tunnel syndrome were enrolled in a prospective study to evaluate the effectiveness of a nerve supplement on patient rated outcome assessment after carpal tunnel surgery. All the patients underwent endoscopic carpal tunnel surgery. 18 patients also took the NeuroGen nerve supplement as part of their perioperative treatment. Both groups demonstrated a statistically significant improvement in BCTQ (both symptoms and function) at 2 weeks follow up. The supplement group demonstrated a statistically significant difference in improvement on the BCTQ (both symptoms and function) compared to the control group without the supplement. The NeuroGen nerve supplement appears to improve recovery on both the symptoms and function component of the BCTQ after endoscopic carpal tunnel surgery within 2 weeks.
