当科における手根管症候群手術症例の検討—手術開始後5年間のまとめ—

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  • Analysis of Surgical Cases of Carpal Tunnel Syndrome Treated at Our Department—Summary after 5 Years Since the Introduction of the Surgical Treatment—

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<p>  Background : As carpal tunnel syndrome (CTS) produces non-specific symptoms similar to those seen in other conditions, such as cervical spondylosis or intracranial disease, patients with CTS are often referred to neurosurgeons. At our department, surgical treatment of CTS was started in January 2014. Herein, we summarize the surgical cases of CTS over 5 years since January 2014.</p><p>  Materials and Methods : Fifty-one hands of 42 patients with CTS were retrospectively reviewed based on medical records, outpatient visits, or telephone interviews. Patients with CTS were divided into two groups : FV group, including those who first visited our outpatient department ; and OP group, including those who had been followed-up on an outpatient basis. Self-assessment reports were used to assess the postoperative alleviation of symptoms and degree of patient satisfaction (satisfactory, acceptable, or dissatisfactory). The factors that caused dissatisfaction were analyzed.</p><p>  Results : The mean follow-up period was 24.9±16.1 months. CTS was diagnosed in 33 of 51 hands (64.7%) in the FV group and 18 of 51 hands (25.3%) in the OP group. Of the 33 patients in the FV group with CTS, 24 (72.7%) had been referred for sensory disturbance of the hand. The self-satisfaction assessment revealed patient dissatisfaction with 13 of 51 hands (25.3%). Of the 13 hands with a dissatisfactory outcome, 10 had stenosing tenosynovitis while two had pillar pain.</p><p>  Conclusion : Regardless of the medical history, CTS should be considered in patients with sensory impairment of the hands. Careful postoperative follow-up for 6 months is important, and clinicians must respond appropriately if stenosing tenosynovitis or pillar pain develops.</p>

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  • 脊髄外科

    脊髄外科 34 (2), 156-163, 2020

    日本脊髄外科学会

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