난치성 수근관 증후군 = Recalcitrant Carpal Tunnel Syndrome

국문 초록 (Abstract)

수근관 유리술의 실패와 합병증은 3%에서 25%까지 보고되며, 이에 따른 재수술은 일차 수술에 비해 결과가 좋지 않고 예후를 예측하기 어렵다. 수근관 증후군 환자에서 수술 후에도 증상의 호전이 없거나 재발되는 경우의 원인은 다양하나, 수술 이후 증상의 발생 양상에 따라 수술 후에도 지속되는 증상, 호전 후 재발되는 증상, 호전 후 새로운 증상의 발생의 세 가지로 크게 분류할 수 있다. 이에 대한 적절한 치료도 원인에 따라 결정되어야 한다. 저자들은 난치성 수근관 증후군의 임상 증상, 원인, 진단, 그리고 치료에 대하여 기술하고자 한다.

다국어 초록 (Multilingual Abstract)

Complications and failures after carpal tunnel release have been reported from 3% to 25%. And the revision surgeries usually show poorer outcomes than the primary surgeries. There are diverse etiologies causing neuropathic symptoms after the carpal tunnel release, which became a clinical challenge. Potential causes of the symptoms are categorized into three by those natures; persistent symptom, recurrent symptom, and new symptom. The decision of proper management should be based on the etiologies of reproduced symptoms. This article described an overview of the clinical presentation, etiologies, diagnosis, and treatments of the recalcitrant carpal tunnel syndrome.

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