Yamauchi Kenji
Department of Orthopaedic Surgery, Tachikawa Hospital, Federation of National Public Service and Affiliated Personal Mutual Aid Association, Nishiki-cho 4-2-22, Tachikawa-shi, Tokyo 190-8531 Japan.
Hand Surg. 2002 Dec;7(2):299-303. doi: 10.1142/s0218810402001059.
Herein is described a haemodialysis patient with bilateral carpal tunnel syndrome suffering from recurrence unilaterally after undergoing numerous surgeries of varying methods. On the left side, she received carpal tunnel release via open method in our clinic, and has not suffered from recurrence in eight years. On the right side, she received endoscopic carpal tunnel release twice in seven years, and subsequently underwent open carpal tunnel release in our clinic for recurrence. For carpal tunnel syndrome in haemodialysis patients, we recommend open surgery rather than endoscopic surgery.
本文描述了一名患有双侧腕管综合征的血液透析患者,该患者在接受了多种不同方法的多次手术后出现了单侧复发。在左侧,她在我们诊所通过开放手术进行了腕管松解术,八年来未复发。在右侧,她在七年中接受了两次内镜下腕管松解术,随后因复发在我们诊所接受了开放腕管松解术。对于血液透析患者的腕管综合征,我们建议采用开放手术而非内镜手术。