依据患者可接受症状状态评估两种腕管综合征手术方案的疗效

Evaluating the Efficacy of Two Surgical Approaches for Carpal Tunnel Syndrome Based on Patient Acceptable Symptom State

摘要: 目的：利用患者可接受症状状态结合波士顿腕管问卷评分对比患者对自制开窗式透明管道辅助关节镜微创双切口入路与常规开放单切口入路这两种手术方案术后患肢功能状态的满意度，以此来比较这两种手术方案的疗效。方法：通过电话回访进行两个PASS锚定问题调查并完成波士顿腕管问卷，对数据进行统计学分析。结果：在平均12 ± 1月的随访中，内镜组PASS(+)患者占总体患者比例大于开放组，且内镜患者的SSS和FSS分数显著低于开放组患者。结论：患者对自制开窗式透明管道辅助关节镜微创双切口入路术后症状状态接受程度较高。

Abstract: Objective: To compare the postoperative functional outcomes and patient satisfaction between two surgical approaches for carpal tunnel syndrome—self-made fenestrated transparent cannula-assisted endoscopic minimally invasive double-incision approach and conventional open single-incision approach—using Patient Acceptable Symptom State (PASS) combined with Boston Carpal Tunnel Questionnaire (BCTQ) scores. Methods: A telephone follow-up was conducted to administer two PASS anchor questions and complete the BCTQ. Data were analyzed statistically to evaluate differences in symptom severity, functional status, and patient-reported satisfaction. Results: At a mean follow-up of 12 ± 1 months, the proportion of PASS(+) patients in the endoscopic group was significantly higher than that in the open group. Additionally, the endoscopic group demonstrated significantly lower Symptom Severity Scale (SSS) and Functional Status Scale (FSS) scores compared to the open group. Conclusion: Patients demonstrated a high level of acceptance toward their postoperative symptom status following the arthroscopic minimally invasive dual-incision approach assisted by a custom-made fenestrated transparent sheath.