CAJ | 학술논문

目的探讨影响重度腕管综合征术后指尖型、指侧型和指头型三种捏力恢复的因素.方法从2009年5月至2011年6月,我们采用腕管切开减压术治疗重度腕管综合征24例,随访21例.术后随访时间为10～ 42个月,对指尖型、指侧型和指头型三种捏力进行测量,将结果与健侧捏力、术后恢复时间、患侧握力、患侧触觉恢复程度等因素进行相关性分析.结果患者术后患侧与健侧三种捏力比较差异有统计学意义;术后捏力恢复与握力呈正相关;与术后恢复时间、触觉恢复程度无关.结论重度腕管综合征切开减压术后患侧三种捏力均比健侧差,术后捏力恢复与握力有相关性.
목적 탐토영향중도완관종합정술후지첨형、지측형화지두형삼충날력회복적인소.방법 종2009년5월지2011년6월,아문채용완관절개감압술치료중도완관종합정24례,수방21례.술후수방시간위10～ 42개월,대지첨형、지측형화지두형삼충날력진행측량,장결과여건측날력、술후회복시간、환측악력、환측촉각회복정도등인소진행상관성분석.결과 환자술후환측여건측삼충날력비교차이유통계학의의;술후날력회복여악력정정상관;여술후회복시간、촉각회복정도무관.결론 중도완관종합정절개감압술후환측삼충날력균비건측차,술후날력회복여악력유상관성.
Objective To analyze the factors that influence the postoperative recovery of palmar pinch,key pinch,and tip pinch forces in patients with severe carpal tunnel syndrome.Methods From May 2009 to June 2011,24 patients with severe carpal tunnel syndrome were treated with carpal tunnel release.Among them 21 were follow-up for 10 to 42 months postoperatively.Forces of tip pinch,key pinch and palmar pinch were measured.Correlation analysis was conducted to assess the relationship between pinch force and postoperative recovery time,grip strength and touch sensation recovery of the affected side.Results There were significant differences between pinch forces of the affected side and the contralateral side.Postoperative pinch strength and grip strength were positively correlated.Pinch force was not related to postoperative recovery time and touch sensation recovery.Conclusion Forces of three types of pinch were significantly lower than those of the contralateral side in patients with severe carpal tunnel syndrome who undergo carpal tunnel release surgery.Postoperative pinch strength recovery is related to grip strength.