Karaeminoğullari Oğuz, Oztürk Ayhan, Tüzüner Tolga, Ozturan Kutay Engin
Başkent Universitesi Tip Fakültesi, Ankara Hastanesi Ortopedi ve Travmatoloji Kiniği, Turkey.
Acta Orthop Traumatol Turc. 2003;37(3):226-32.
We evaluated the clinical results of endoscopic carpal ligament release in patients with carpal tunnel syndrome.
Twenty-six hands of 20 patients (16 females, 4 males; mean age 50 years; range 30 to 65 years) underwent endoscopic carpal ligament release according to the technique described by Chow. Clinical and electromyographic findings were compatible with carpal tunnel syndrome. The mean follow-up period was 13.2 months (range 3 to 28 months).
Clinical and electromyographic improvement was obtained in all patients. Complications included superficial wound infection in one patient and neuropraxia of the digital nerve in three patients. The mean time to return to work was 22.5 days. No incision-site pain or localized scar sensitivity were noted. Excellent or good results were achieved in 24 hands (92%).
With a good knowledge of endoscopic anatomy and adequate experience, endoscopic carpal ligament release is an appropriate alternative in the treatment of carpal tunnel syndrome, resulting in lower complication rates, early return to daily activities and work, and a lower morbidity.
我们评估了内镜下腕管韧带松解术治疗腕管综合征患者的临床效果。
20例患者（16例女性，4例男性；平均年龄50岁；范围30至65岁）的26只手根据Chow描述的技术接受了内镜下腕管韧带松解术。临床和肌电图检查结果符合腕管综合征。平均随访期为13.2个月（范围3至28个月）。
所有患者临床和肌电图均有改善。并发症包括1例患者浅表伤口感染和3例患者指神经失用。平均恢复工作时间为22.5天。未观察到切口部位疼痛或局部瘢痕敏感。24只手（92%）取得了优秀或良好的结果。
熟悉内镜解剖并具备足够经验的情况下，内镜下腕管韧带松解术是治疗腕管综合征的合适选择，可降低并发症发生率，使患者早日恢复日常活动和工作，且发病率较低。
