Kasdan Morton L, Lewis Kathleen
Hand Clin. 2002 May;18(2):325-30. doi: 10.1016/s0749-0712(01)00004-x.
CTS, which has been determined to be caused or aggravated by work, can be a complex challenge. The proper diagnosis is often elusive, as a patient may have other conditions that mimic CTS. The patient's job may be a factor in the development of symptoms, but there are a host of other risk factors that should be considered in establishing the cause of the problem. While the medical and surgical treatment of CTS is not always straightforward, dealing with the social and economic aspects of this problem can be even more complex and frustrating. Trying to coordinate vocational and psychological aspects of treatment while helping the patient to stay motivated can be far more stressful than the most difficult surgical procedure. The physician may be tempted to diagnose CTS without objective evidence or to define a problem as work related without performing the necessary investigation. Labeling a patient inappropriately may cause far more harm than good [8,17,25,27]. Do not give patients with CTS the impression that they will be "crippled for life" or totally disabled.
已被确定由工作引起或加重的腕管综合征可能是一个复杂的挑战。正确诊断往往难以捉摸，因为患者可能有其他类似腕管综合征的病症。患者的工作可能是症状出现的一个因素，但在确定问题原因时还应考虑许多其他风险因素。虽然腕管综合征的药物和手术治疗并非总是简单直接，但处理这个问题的社会和经济方面可能更加复杂且令人沮丧。在帮助患者保持积极性的同时，试图协调治疗的职业和心理方面，可能比最困难的外科手术压力大得多。医生可能会在没有客观证据的情况下倾向于诊断腕管综合征，或者在没有进行必要调查的情况下将问题定义为与工作相关。不恰当地给患者贴上标签可能弊大于利[8,17,25,27]。不要给腕管综合征患者留下他们将“终身残疾”或完全丧失能力的印象。
