매우 중증과 극도 중중의 수근관 증후군의 수술 후 임상적 신경생리학적 추적관찰
Posoperative Clinical and Neurophsiological Follow up study of Very Severe and Exteremely Severe Carpal Tunnel Syndrome
김철현, 박창영, 변승득, 이양수, 김풍택,
소속 상세정보
김철현 ( Kim Chul-Hyun )
경북대학교 의과대학 재활의학교실
박창영 ( Park Chang-Young )
경북대학교 의과대학 재활의학교실
변승득 ( Byun Seung-Deuk )
경북대학교 의과대학 재활의학교실
이양수 ( Lee Yang-Soo )
경북대학교 의과대학 재활의학교실
김풍택 ( Kim Poong-Taek )
경북대학교 의과대학 재활의학교실
KMID : 0860920040060010004
Abstract
Objectives: The purpose of this study is to analyze the postoperative neutophysiologic out come and clonocal symptoms of patients with very severe and extremely severe carpal tunnel syndrome.
Methods: Median nerve conduction test was performed in 27 hands 20 patients with very severe and extremely severe carpal tunnel syndrome. These 27 hands were classified according to Bland´s Neurophysiologic grading scale, 8 hands were Bland´s grade 5, and 9 were grade 6. patients were examined preoperatively and 1 and 3 and 6 months postoperatively.
Results: Eleven hands newly showed motor response through neurophysiologic test as well as eighteen hands did sensory response. The critical period for the best latency and visual analogue scale over median motor nerve and median sensory nerve was one month after operatin, and the critical period for the best amplitude was six months after operation. The latency of median motor and ssensory nerve had higher correlation with visual analogue scale is higher than the latency over median motor nerve.
Comclusion: Symptoms and parameters of neurophysiologic test improved with operations in patients with very severe and extremely severe carpal tunnel syndrome.
키워드
Extreme carpal tunnel syndrome;outcome;Nerve conduction study
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