Karpal Tünel Sendromu Dekompresyon Cerrahisinde Diyabetes Mellitus’un Sonuçlara Etkisi

Year 2018, Volume: 18 Issue: 3, 430 - 437, 28.09.2018

Uygar Daşar Tansel Mutlu

https://doi.org/10.17098/amj.463198

Abstract

Amaç: Kiniğimizde Karpal Tünel Sendromu (KTS)
nedeniyle cerrahi olarak müdahale edilenlerinin sonuçlarının diyabetes
mellituslu (DM) olup olmamaya göre karşılaştırılması.

Materyal ve Metot: 2009-2013 yılları arasında Karabük Üniversitesi Tıp Fakültesi Eğitim
Araştırma Hastanesi Ortopedi ve Travmatoloji Kliniği’ne başvuran KTS tanısı
almış hastalar bu retrospektif araştırmanın çalışma grubunu oluşturdu. Çalışma
grubu 3 ayrı gruba ayrıldı; DM teşhisi olmayan grup (Grup 1, n=50), DM teşhisi
olup polinöropatisi bulunmayan grup (Grup 2, n=45), DM teşhisi olup
polinöropatisi olan grup (Grup 3, n=28). Hastaların semptomları operasyon
öncesi ve sonrası kaydedilerek karşılaştırmalar yapıldı.

Bulgular:
Çalışmamızdaki gruplar yaş, cinsiyet, eğitim durumu, semptomların dağılımı
açısından ameliyat öncesinde benzer bulundu. Hastaların semptomlarının son bir
yıl içerisindeki değişimleri incelendiğinde, ağrı sempromunun Grup 1 (p=0,001)
ve Grup 2’de (p=0,004) anlamlı seviyede azaldığı görülürken, Grup 3’te (p=0,581)
değişmediği görüldü. Parestezi semptomunun, Grup 1 (p=0,001) ve Grup 2’de (p=0,017)
anlamlı seviyede azaldığı görülürken, Grup 3’te (p=0,344) değişmediği görüldü.
Ayrıca, güçsüzlük semptomunun Grup 1’de (p=0,029) anlamlı seviyede azaldığı
izlenirken, Grup 2 (p=0,064) ve Grup 3’te (p=0,057) değişmediği izlendi.

Sonuç: Çalışmada
DM teşhisli hastaların polinöropatisinin olup olmamasının KTS sonucuna anlamlı
derecede etki ettiğini izlenmiştir. Operasyon öncesinde ve sonrasında kişiler
DM’li olsalar bile nöropati düzeylerinin izlemi yararlı olabilir.

Keywords

Diyabetik polinöropati, karpal tünel sendromu, Diabetes Mellitus

The Effect of Diabetes Mellitus on Decompression Surgery in Carpal Tunnel Syndrome

Abstract

Objectives: Our aim in our study is
to compare the postoperative results of surgery between diabetic and
non-diabetic patients with carpal tunnel syndrome (CTS) who are treated in our
clinic.

Materials and Methods: Between 2009 and 2013,
patients who were diagnosed with CTS who applied to the Orthopedics and
Traumatology Clinic of Karabük University Faculty of Medicine Training and
Research Hospital constituted the study group of this retrospective study. The
study group was divided into 3 groups; non-diabetic group (Group 1, n=50),
diagnosed with diabetes mellitus without polyneuropathy group (Group 2, n=45),
diabetes mellitus with polyneuropathy group (Group 3,n=28). Symptoms of the
patients were recorded before and after the operation and compared.

Results: The groups were similar
in terms of age, sex, educational status, distribution of symptoms before
surgery. When the symptoms of the patients were analyzed within one year, it
was observed that the symptom of pain decreased in Group 1 (p=0.001) and Group
2 (p=0.004) but not in Group 3 (p=0.581). The symptom of paresthesia decreased
in the group 1 (p=0.001) and in the group 2 (p=0.017) but not in the group
3(p=0.344). In addition, the symptom of weakness decreased in Group 1
(p=0.029), but not in Group 2 (p=0.064) and Group 3 (p=0.057).

Conclusion: We found that the
presence of polyneuropathy in patients with diabetes diagnosed during the study
significantly affected the CTS result. Before and after the operation, we were
of the opinion that monitoring of neuropathy levels would be beneficial even if
people were diabetic.

Keywords

Diabetic polyneuropathy, carpal tunnel syndrome, diabetes mellitus

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