{"id":3541,"date":"2025-07-07T20:40:14","date_gmt":"2025-07-07T18:40:14","guid":{"rendered":"https:\/\/neurocirugialmeria.com\/?p=3541"},"modified":"2025-07-07T20:40:14","modified_gmt":"2025-07-07T18:40:14","slug":"papel-de-la-cirugia-en-el-tratamiento-del-sindrome-del-tunel-del-carpo-resultados-de-un-ensayo-clinico","status":"publish","type":"post","link":"https:\/\/neurocirugialmeria.com\/en\/2025\/07\/07\/papel-de-la-cirugia-en-el-tratamiento-del-sindrome-del-tunel-del-carpo-resultados-de-un-ensayo-clinico\/","title":{"rendered":"Papel de la cirug\u00eda en el tratamiento del s\u00edndrome del t\u00fanel del carpo: resultados de un ensayo cl\u00ednico"},"content":{"rendered":"

La revista Lancet<\/a> acaba de publicar los resultados de un trabajo orientado a evaluar la eficacia de la cirug\u00eda en el tratamiento del s\u00edndrome del t\u00fanel carpiano frente a la opci\u00f3n de tratamiento conservador mediante inyecci\u00f3n de corticosteroides.\u00a0El trabajo cont\u00f3 con el dise\u00f1o de ensayo cl\u00ednico aleatorizado, de manera que fueron incluidos cerca de mil pacientes en un total de 31 hospitales todos ellos situados enn Holanda.<\/p>\n\n\n\n

Se llev\u00f3 a cabo una aleatorizaci\u00f3n 1:1 a ambos grupos de tratamiento. Los autores observaron c\u00f3mo el 61% de los pacientes operados lograba una recuperaci\u00f3n \u00f3ptima del cuadro a los 18 meses, mientras que \u00e9sto s\u00f3lo sucedi\u00f3 en un 45% de los casos del grupo de pacientes que se trat\u00f3 con inyecci\u00f3n de corticoides, resultando esta diferencia estad\u00edsticamente significativa.<\/p>\n\n\n\n

En ambos grupos la aparici\u00f3n de alg\u00fan efecto adverso, por lo general leve, derivado del tratamiento sucedi\u00f3 en el 86% de los casos intervenidos frente al 85% de los casos infiltrados.<\/p>\n\n\n\n

Los autores concluyeron que a tenor de los resultados, el tratamiento quir\u00fargico del s\u00edndrome del t\u00fanel carpiano obtiene resultados superiores a la infiltraci\u00f3n con corticoides.<\/p>\n\n\n\n

Fuente: <\/strong>Palmbergen WAC, Beekman R, Heeren AM, van Nuenen BFL, Alleman TWH, Verstraete E, Jellema K, Verhagen WIM, Visser LH, de Ruiter GCW, van de Beek D, de Borgie CAJM, Bogaards JA, de Bie RMA, Verhamme C; Dutch CTS study group. Surgery versus corticosteroid injection for carpal tunnel syndrome (DISTRICTS): an open-label, multicentre, randomised controlled trial. Lancet. 2025 Jun 14;405(10495):2153-2163.\u00a0<\/a><\/p>","protected":false},"excerpt":{"rendered":"

La revista Lancet acaba de publicar los resultados de un trabajo orientado a evaluar la eficacia de la cirug\u00eda en el tratamiento del s\u00edndrome del t\u00fanel carpiano frente a la opci\u00f3n de tratamiento conservador mediante inyecci\u00f3n de corticosteroides.\u00a0El trabajo cont\u00f3 con el dise\u00f1o de ensayo cl\u00ednico aleatorizado, de manera que fueron incluidos cerca de mil…<\/p>","protected":false},"author":183523340,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","advanced_seo_description":"","jetpack_seo_html_title":"","jetpack_seo_noindex":false,"jetpack_seo_schema_type":"","_kadence_starter_templates_imported_post":false,"_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"","_kad_post_sidebar_id":"","_kad_post_content_style":"","_kad_post_vertical_padding":"","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"_kad_post_classname":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_wpcom_ai_launchpad_first_post":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"{title}\n\n{excerpt}\n\n{url}","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"_wpas_customize_per_network":false,"jetpack_post_was_ever_published":false},"categories":[1771],"tags":[],"class_list":["post-3541","post","type-post","status-publish","format-standard","hentry","category-sin-categoria"],"jetpack_publicize_connections":[],"jetpack_likes_enabled":true,"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/pbS7CP-V7","jetpack-related-posts":[],"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/3541","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/users\/183523340"}],"replies":[{"embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/comments?post=3541"}],"version-history":[{"count":2,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/3541\/revisions"}],"predecessor-version":[{"id":3543,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/3541\/revisions\/3543"}],"wp:attachment":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/media?parent=3541"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/categories?post=3541"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/tags?post=3541"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}