Comparing the effectiveness of endoscopic carpal tunnel release between idiopathic and long-term hemodialysis patients

摘要: Summary Background Carpal tunnel syndrome (CTS) is recognized as an increasing morbidity in long-term hemodialysis patients. In general, the open method preferred technique of carpal release for most surgeons. Endoscopic (ECTR) alternative approach idiopathic CTS, but its effectiveness hemodialysis-related patients still under dispute. Objectives The purpose current study was to compare ECTR treating CTS between and Methods From November 2008 March 2011, we consecutively collected 26 with 22 by a single surgeon. All received decompression median nerve. two groups analyzed clinical observation, historical-objective scale, kinds self-administered questionnaires (QuickDASH Boston questionnaires), objectively electrophysiological evaluation preoperatively 3 months postoperatively. Results With regard group had significantly more severe grades than preoperative postoperative evaluations. Both showed significant improvement after ECTR. According questionnaire results, there no difference groups. Hemodialysis-related found have advanced electrophysiologic findings, grading can be this Conclusion effective both patients, severity their pre-operative status, especially involvement, may compromise objective results. Although results from findings were inconsistent these it possible satisfactory symptoms less outcome.