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首页> 外文期刊>Acta Neurochirurgica >Predictors of surgical outcomes for severe cubital tunnel syndrome: a review of 146 patients
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Predictors of surgical outcomes for severe cubital tunnel syndrome: a review of 146 patients

机译：严重职局隧道综合征的外科检查预测因素：146例患者综述

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Abstract Background Full recovery is unlikely for severe cubital tunnel syndrome, and prognostic factors remain uncertain. We aimed to identify predictors of surgical outcome for these patients. Methods One hundred forty-six patients with McGowan grade III cubital tunnel syndrome were evaluated retrospectively with a minimum follow-up of 2?years. All patients underwent either in situ decompression or subcutaneous transposition. The primary outcome measure was postoperative McGowan grade. Predictors included age, sex, dominant hand, disease duration, diabetes mellitus, smoking, alcohol, surgical procedure, follow-up time and preoperative electrophysiological data. Spearman’s rank correlation and ordinal logistic regression model were used to assess the effect of independent variables on the postoperative McGowan grade. Results At the last follow-up, improvement by at least one McGowan grade was reached in 118 cases (80.8%), and complete recovery was achieved in 40 hands (27.4%), while 28 extremities (19.2%) remained at grade III. Older age [per 10-year increase, odds ratio (OR) 2.10; 95% confidence interval (95% CI) 1.55–2.84, p ? p ? p ?=?0.010) and shorter postoperative follow-up (per 1-year increase, OR 0.76; 95% CI 0.65–0.90, p ?=?0.001) were associated with a higher postoperative McGowan grade. Conclusion Significant improvement but not complete recovery could be expected following in situ decompression or subcutaneous transposition for severe cubital tunnel syndrome. Older age, longer disease duration, absent sensory nerve conduction and shorter postoperative follow-up are independent predictors of worse outcomes.
机译：摘要背景对于严重的肘管综合征而言，全面恢复不太可能，预后因素仍然不确定。我们旨在识别这些患者的手术结果的预测因素。方法回顾性评估一百四十六名麦克湾级职局隧道综合征的患者，最短的后续行动为2年。所有患者都经过原位减压或皮下转置。主要结果措施是术后McGowan等级。预测因子包括年龄，性别，占优势手，疾病持续时间，糖尿病，吸烟，酒精，手术程序，随访时间和术前电生理数据。 Spearman的等级相关性和序数逻辑回归模型用于评估独立变量对术后McGowan等级的影响。结果在最后一次随访中，在118例（80.8％）中达到了至少一个麦克沃湾等级的改善，40手（27.4％）取得了完全恢复，而28年级（19.2％）仍持续。年龄较大的[每10年增加，赔率比（或）2.10; 95％置信区间（95％CI）1.55-2.84，P？ P？ p？= 0.010）和术后随访更短（每1年增加，或0.76; 95％CI 0.65-0.90，P？= 0.001）与术后麦克马等级更高。结论在原位减压或皮下转置对严重职局隧道综合征的情况下，可以预期显着改善但不完全恢复。年龄较大，疾病持续时间更长，缺席感官神经传导和较短的术后随访是更糟糕的结果的独立预测因子。

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