摘要
目的:探讨比较手术治疗与非手术治疗腕管综合征(CTS)的短期和长期疗效。方法:检索Pubmed、Cochrane、Medline、Embase等数据库。以患者自我评估的功能和症状变化及电生理学检查数据为评估研究结果。Meta分析在RevMan中进行。结果:手术和非手术治疗的临床疗效差异有统计学意义(P<0.05);治疗后1个月,非手术治疗患者手功能恢复情况好于手术治疗(P<0.05);治疗后3个月,手术治疗患者手部症状改善情况优于非手术治疗(P<0.05);治疗后6个月,手术治疗患者手部功能改善情况优于非手术治疗(P<0.05),手术治疗组远端感觉潜伏期改善程度更好(P<0.05)。结论:接受手术或非手术治疗的CTS患者在治疗后短期手功能与症状改善方面各有优势,长期随访手术治疗较非手术治疗疗效更好,但仍需要长期大量研究。
引文
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