Tomaino M M, Weiser R W
Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA 15213, USA.
J Hand Surg Br. 2001 Oct;26(5):481-3. doi: 10.1054/jhsb.2001.0614.
Because more advanced stages of nerve compression are likely to result in intraneural changes including intrinsic fibrosis and axon loss, we hypothesised that carpal tunnel release for advanced carpal tunnel syndrome might not result in satisfactory resolution of symptoms. We were particularly interested in evaluating a population of elderly patients 70 years and older for whom relief of symptoms is the overwhelming objective of surgery. Our retrospective assessment of symptom resolution and patient satisfaction in 13 patients with advanced carpal tunnel syndrome utilized a validated self-administered questionnaire and revealed minimal symptoms in 11 patients. Although carpal tunnel release is unlikely to result in the total elimination of symptoms when performed in elderly patients with advanced disease, outcome from the patient's perspective appears to be satisfactory and the surgery quite justified.
由于更严重阶段的神经压迫可能会导致神经内改变，包括固有纤维化和轴突丧失，我们推测，针对晚期腕管综合征进行腕管松解术可能无法使症状得到令人满意的缓解。我们特别关注对70岁及以上老年患者群体的评估，对他们而言，缓解症状是手术的首要目标。我们通过一份经验证的自填问卷对13例晚期腕管综合征患者的症状缓解情况和患者满意度进行了回顾性评估，结果显示11例患者症状轻微。尽管对患有晚期疾病的老年患者进行腕管松解术不太可能完全消除症状，但从患者角度来看，手术结果似乎令人满意，且该手术很有必要。
