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| 手术入路与腕管综合征术后疗效的关系及影响因素分析 |
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| 投稿时间：2025-06-21 修订日期：2026-06-22 |
| DOI： |
| 中文关键词: 腕管综合征 手术入路 疗效 影响因素 预测 |
| 英文关键词:carpal tunnel syndrome Surgical approach Curative effect Influencing factors forecast |
| 基金项目: |
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| 中文摘要: |
| 目的:探究不同手术入路与腕管综合征(CTS)疗效的关系并分析相关影响因素。方法:回顾性收集义乌市中心医院2021年1月至2024年1月收入行手术治疗的CTS患者122例临床资料,其中69例行内镜下双孔入路治疗(微创组),53例行传统小切口手术治疗(传统组)。比较两组患者手术疗效差异,根据122例患者临床疗程情况将其分为显效组(58例)、非显效组(64例),收集两组患者人口学及病理学相关资料,采用logistic单因素、多因素回归分析影响CTS术后疗效因素。结果:微创组总有效率(98.55%)较传统组(94.34%)无显著差异(P>0.05)。整体来看,微创组显著改善占比高于传统组(P<0.05)。与未损伤组相比,非显效组年龄≥50岁、体质指数≥24且＜28(kg/m2)、病程≥20个月、入路方式为传统组占比更高(P<0.05)。单因素、多因素Logistic回归分析,显示年龄、入路方式、体质指数、病程为CTS术后疗效的相关影响因素(P<0.05)。结论:与传统小切口手术治疗相比,内镜下双孔入路治疗整体治疗效果更好,年龄、入路方式、体质指数、病程为CTS术后疗效的相关影响因素。 |
| 英文摘要: |
| Objective: To explore the relationship between different surgical approaches and the curative effect of carpal tunnel syndrome and analyze the related influencing factors. Methods: Clinical data of 122 CTS patients who received surgical treatment in Yiwu Central Hospital from January 2021 to January 2024 were retrospectively collected, of which 69 underwent endoscopic double-hole approach (minimally invasive group) and 53 underwent traditional small-incision surgery (traditional group). The difference in surgical efficacy between the two groups was compared, and 122 patients were divided into the obvious effect group (58 cases) and the non-obvious effect group (64 cases) according to the clinical course of treatment. The relevant demographic and pathological data of patients in the two groups were collected, and the factors affecting the postoperative efficacy of CTS were analyzed by logistic univariate and multivariate regression analysis. Results: The total effective rate of minimally invasive group (98.55%) was not significantly different from that of traditional group (94.34%) (P>0.05). On the whole, the proportion of improvement in minimally invasive group was higher than that in traditional group (P<0.05). Compared with the uninjured group, the age ≥50 years, body mass index ≥24 and < 28 (kg/m2), disease course ≥20 months, and the traditional approach were higher in the non-obvious group (P<0.05). Univariate and multivariate Logistic regression analysis showed that age, approach, body mass index and course of disease were the relevant influencing factors for postoperative efficacy of CTS (P<0.05).Conclusion:Compared with the traditional small-incision surgery, the overall therapeutic effect of endoscopic double-hole approach is better. Age, approach, body mass index and course of disease are related factors affecting the postoperative efficacy of CTS. |
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