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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Factors that Predict the Response to Treatment in Carpal Tunnel Syndrome
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Factors that Predict the Response to Treatment in Carpal Tunnel Syndrome

机译：预测腕管综合症对治疗反应的因素

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Carpal tunnel release is a very common surgery and most people do very well after the surgery but some pre-existing conditions can have a negative impact on the outcome of the surgery. Our current knowledge about the impact of these conditions on the outcome of carpal tunnel release is incomplete.Aim: To find out the various factors that could affect the outcome of the carpal tunnel release.Materials and Methods: The present study was a retrospective analysis of the patients who underwent open carpal tunnel decompression and the study evaluates the effect of pre-existing factors like age, sex, duration of symptoms, BMI, Nerve Conduction Studies (NCS), alcohol, smoking status and comorbid conditions like diabetes, depression and fibromyalgia on the outcome of surgery. Chi-square analysis was carried out to find out the relationship between the final outcome and each variable. A p-value <0.05 was considered as significant.Results: Age, sex, duration of symptoms, BMI, NCS, alcohol and smoking status and comorbid conditions like diabetes, and depression were not found to be associated with the outcome. Fibromyalgia was found to be significantly associated with poor outcome.Conclusion: Carpal tunnel release consistently gives good outcomes and must be offered to the patients who have failed conservative treatment, irrespective of the factors like age, sex, duration of symptoms, BMI, NCS, diabetes, and depression. Patients with fibromyalgia must be warned pre-operatively about the possibility of inferior results following the surgery.
机译：腕管松脱术是很常见的手术，大多数人在手术后都做得很好，但是某些既存的状况可能会对手术的结果产生负面影响。我们目前关于这些状况对腕管释放的影响的知识尚不完全。目的：找出可能影响腕管释放结果的各种因素。材料和方法：目前这项研究是对行腕管减压手术的患者进行的回顾性分析，并评估了先前存在的因素（例如年龄，性别，症状持续时间，BMI，神经传导研究（NCS），酒精，吸烟状况和合并症）的影响如糖尿病，抑郁症和纤维肌痛对手术结局的影响。进行卡方分析以找出最终结果与每个变量之间的关系。 p值<0.05被认为是显着的。结果：未发现与年龄，性别，症状持续时间，BMI，NCS，酒精和吸烟状况以及合并症（如糖尿病和抑郁症）相关。发现纤维肌痛与不良预后显着相关。结论：腕管松解术始终可以带来良好的预后，并且必须提供给保守治疗失败的患者，无论年龄，性别，症状持续时间，BMI如何，NCS，糖尿病和抑郁症。术前必须警告患有纤维肌痛的患者手术后不良结果的可能性。

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