Analysis of clinical efficacy of surgical treatment for carpal tunnel syndrome based on different symptoms classification
Objective To evaluate the clinical efficacy of surgical treatment based on different symptoms of carpal tunnel syndrome and prevention of complications.Methods From January 2018 to June 2021,90 patients with carpal tunnel syndrome were treated with proximal carpal tunnel release in 9 cases,total carpal tunnel release in 25 cases,distal carpal tunnel release in 15 cases,and minimally invasive carpal tunnel release in 41 cases according to different symptoms.The visual analogue scale(VAS),Kelly score,BCTQ score,two-point discrimination,neuroelectrophysiological parameters and the incidence of complications were compared among the four groups at 1,3 and 6 months after surgery.Results There was no statistically significant difference in the clinical efficacy and excellent and good rates evaluated by VAS,Kelly score,and BCTQ score among the four groups of patients at 1,3,and 6 months after surgery(P＞0.05).There was no statistically significant difference in two-point discrimination and various neurophysiological parameters(P＞0.05).The incision length,postoperative scar formation,and incidence of complications in the minimally invasive carpal tunnel release group were significantly lower than those in the other three groups,with statistical significance(P＜0.05).The incision length,recovery time,postoperative scar formation,and incidence of complications in the total carpal tunnel release group were significantly higher than those in the other three groups,with statistical significance(P＜0.05).There was no statistically significant difference in hospital expenses,surgical time,and hospital stay among the four groups of patients(P＞0.05).Conclusion The classification and treatment of carpal tunnel syndrome based on different symptoms can safely and effectively release the median nerve in different parts,reduce postoperative complications,and accelerate the recovery of hand function.
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