ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ HỘI CHỨNG ỐNG CỔ TAY BẰNG PHƯƠNG PHÁP PHẪU THUẬT MỞ

Abstract

Background: Carpal tunnel syndrome (CTS) is a common peripheral neuropathy caused by compression of the median nerve at the wrist. This condition often results in pain, paresthesia, muscle weakness, and impaired hand function, ultimately reducing patients' quality of life. Among the available treatment options, open carpal tunnel release (OCTR) is considered a gold-standard procedure with proven efficacy. However, postoperative outcome evaluation remains crucial to determine the extent of symptom improvement and functional nerve recovery. Objective: To evaluate the treatment outcomes of CTS using the open carpal tunnel release technique. Materials and Methods: A descriptive cross-sectional study was conducted on 35 patients diagnosed with CTS who underwent OCTR from June 2022 to June 2023. Patients were assessed preoperatively and followed up at six months postoperatively to evaluate symptom improvement and nerve function recovery using the Boston Carpal Tunnel Questionnaire (BCTQ), electrophysiological studies, and other clinical parameters. Results: The mean age of the patients was 47.14 ± 1.931 years, with females accounting for 95% of cases. At the six-month follow-up, the BCTQ score significantly improved from 3.22 ± 0.66 to 1.85 ± 0.81, indicating substantial symptom relief. Bilateral involvement was observed in 61% of cases, while 14% had right-hand involvement and 23% had left-hand involvement. The mean surgical incision length was 19.26 ± 0.64 mm. Electromyographic grading showed a marked decrease after 6 months, demonstrating the effectiveness of the procedure in improving neurological function. Conclusion: Open carpal tunnel release is an effective treatment for CTS, leading to significant symptom relief and functional nerve recovery.