Comparison of the Effectiveness and Safety of Carpal Tunnel Release Surgery Using a Longitudinal Small Incision at the Palmar Root and a Longitudinal Small Incision on the Palmar Side for the Treatment of Carpal Tunnel Syndrome
Objective To explore the clinical effect of carpal tunnel release surgery using a longitudinal small incision at the palmar root and a longitudinal small incision on the palmar side of the wrist for the treatment of carpal tunnel syndrome.Methods A total of 62 patients with carpal tunnel syndrome admitted to Juye County People's Hospital from July 2022 to November 2023 were selected as the study objects and randomly divided into a control group and an observation group,with 31 cases in each group.The control group underwent longitudinal small incision surgery at the palmar root,while the observation group underwent longitudinal small incision surgery at the wrist palmar side.The surgical conditions,pain level,median nerve electrophysiological parameters,and quality of life between two groups were compared.Results Preoperative,postoperative 1,3 months,there were no statistically significant differences between the two groups in terms of surgical time and hospital stay(P＞0.05).There were no statistically significant differences in pain Visual Analogue Scale scores between the two groups(P＞0.05).Before and after surgery,there were no statistically significant differences between the two groups in terms of sensory nerve conduction velocity,sensory action potential,motor nerve conduction velocity,and composite muscle action potential(P＞0.05).There were no statistically significant differences in the quality of life scores between the two groups before and after surgery(P＞0.05).Conclusion The longitudinal small incision at the palmar root and the longitudinal small incision at the palmar side of the wrist for carpal tunnel release are equally effective in the treatment of carpal tunnel syndrome,both of which can alleviate pain symptoms,improve neurophysiological parameters and quality of life.Clinically,they can be selected according to the situation.
Carpal tunnel syndromeVertical small incision at the base of the palmWrist palmar longitudinal incisionCarpal tunnel release surgerySecurity
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