Karpal Tünel Sendromlu Olgulara Cerrahi Yaklaşımda Morfolojik Bakış

Year 2010, Volume: 11 Issue: 1, 15 - 19, 01.04.2010

H. Selim Karabekir Neşe Nur User Özge YILMAZ Küsbeci Nüket GÖÇMEN Mas

Abstract

Keywords

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Karpal Tünel Sendromlu Olgulara Cerrahi Yaklaşımda Morfolojik Bakış

Abstract

Amaç: Bu çalışma Karpal Tünel Sendromu (KTS) olan hastalara güvenli cerrahi yaklaşım şansı tanınabilmesi için bölgedeki karmaşık anatomik yapılanmanın anlaşılması amacıyla planlanmıştır. Materyal-Metod: Eylül 2002- Aralık 2008 tarihleri arasında Afyon Kocatepe Üniversitesi Tıp Fakültesi Nöroloji, Nöroşirürji ve Acil Servis’e el bileğinde ağrı, uyuşukluk yakınması ile başvuran ve Nöroşirurji polikliniğine sevk edilerek Karpal Tünel Sendromu (KTS) tanısı cerrahi tedavi uygulanan 21 olgunun sonuçları retrospektif olarak arşiv taraması yoluyla değerlendirildi. Bulgular: Tamamı kadın olan olguların 6’sı bilateral, 8’i sağ ve 7’si sol tarafta karpal tünel sendromu tanısı konularak opere edilmişti. Yaş ortalaması 54,8 olan olguların izleme süresi ortalama 42,1 ay olarak belirlendi. Olguların izlemi vizüel ağrı skalası (VAS) kullanılarak yapıldı. Preoperatif VAS skorları 9,5 olarak saptandı. Sağ karpal tünel tanısı ile opere edilen 1 olgu dışında nüks görülmedi (%4,8). Yirmibir olgunun 2’si dışında postoperatif dönemde ağrı yakınması tama yakın geçti. Postoperatif VAS skorları ortalama 3,4 olarak bulundu. Sonuç: Anatomik oryantasyon noktalarına bağlı kalınarak yapılan cerrahi girişimlerde gerek olgu memnuniyetinin yüksek, gerekse de nüks oranının daha düşük olması karpal tünel sendromu olgularında güvenli cerrahi yapılabileceğini düşündürmektedir

Keywords

Karpal Tünel Sendromu, Anatomik oryantasyon noktası, Dekompresyon

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