[1]刘凯,刘彦士,蔡飞宇,等.腕管综合征术后复发的相关危险因素回顾性分析645例[J].实用手外科杂志,2021,35(04):0.[doi:10.3969/j.issn.1671-2722.2021.04.008]
　LIU Kai,LIU Yanshi,CAI Feiyu,et al.Risk factors for postoperative recurrence of carpal tunnel syndrome retrospective analysis of 645 cases[J].Journal of Practical Hand Surgery,2021,35(04):0.[doi:10.3969/j.issn.1671-2722.2021.04.008]
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腕管综合征术后复发的相关危险因素回顾性分析645例
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《实用手外科杂志》[ISSN:1671-2722/CN:10-1336/R]

卷:
35
期数:
2021年04期
页码:
0
栏目:
出版日期:
2021-12-20

文章信息/Info

Title:
Risk factors for postoperative recurrence of carpal tunnel syndrome retrospective analysis of 645 cases
作者:
刘凯;  刘彦士;  蔡飞宇;  范琛琛;  任鹏;  艾合买提江·玉素甫
（新疆医科大学第一附属医院 骨科中心 显微修复外科， 新疆维吾尔自治区 乌鲁木齐 830054）
Author(s):
LIU Kai;  LIU Yanshi;  CAI Feiyu;  et al (Department of Trauma and Microreconstructive Surgery;  The First Affiliated Hospital of Xinjiang Medical University;  Urumqi;  The Xinjiang Uygur Autonomous Region;  830054;  China)
关键词:
关键词： 腕管综合征;  复发;  翻修;  危险因素
DOI:
10.3969/j.issn.1671-2722.2021.04.008
摘要:
摘 要：目的 探讨腕管综合征（Carpal Tunnel Syndrome， CTS）行腕管切开减压术术后症状复发的相关危险因素。方法 收集2009年1月-2020年1月腕管综合征并行腕管切开减压术患者共645例的临床资料，分析人口统计学及临床相关数据。患者术前及术后随访均行神经电生理检查，对术后再发正中神经嵌压症状的患者应用CTS复发标准进行诊断，对可能影响症状复发的因素采用二元Logistic回归分析。结果 发生复发108例，复发率18.3%。32例通过针刺艾灸、局部封闭等治疗后症状缓解，其余患者行二次手术后得以痊愈。二元Logistic回归分析结果提示复发主要危险因素为性别、职业、单或双侧患病、术者年资及是否伴有糖尿病。 结论 腕管综合征术后复发的危险因素为男性、手工业者、单侧患病、术者低年资及是否伴有糖尿病，应多加关注，对临床有指导价值，避免复发。

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更新日期/Last Update: 2021-12-20