Le Viet D, Gandon F
Chirurgie. 1992;118(9):546-50.
The retrospective study of this homogeneous series of 110 carpal tunnel syndromes in 70 patients on hemodialysis shows the usual severity of symptoms (right thenar amyotrophy in 56% of cases, advanced nerve lesions in 66%). Synovitis plays a major role, as demonstrated by the frequency of clicking fingers (45%), and requires synovectomy that allows thoroughly exploring the carpal tunnel and removing a highly aggressive element against tendons. In this study, fisculae do not seem to have the generally admitted importance, but it requires surgical caution. Two thirds of patients were followed up for an average of 3 years. Apart from 3 recurrences, the control of pain is good but sensorimotor recovery is long and often incomplete, which is in favor of earlier surgery.
对70例接受血液透析患者的110例腕管综合征同类病例系列进行的回顾性研究显示了症状的常见严重程度（56%的病例出现右手鱼际肌萎缩，66%出现严重神经病变）。滑膜炎起主要作用，手指弹响的发生率（45%）证明了这一点，需要进行滑膜切除术，以便彻底探查腕管并清除对肌腱具有高度侵袭性的因素。在本研究中，纤维束似乎没有普遍认为的那么重要，但手术时仍需谨慎。三分之二的患者平均随访了3年。除3例复发外，疼痛控制良好，但感觉运动恢复时间长且常不完全，这支持早期手术。
