Pülzl P, Estermann D, Piza-Katzer H
Universitätsklinik für Plastische und Wiederherstellungschirurgie, Medizinische Universität Innsbruck.
Handchir Mikrochir Plast Chir. 2006 Oct;38(5):300-5. doi: 10.1055/s-2006-924316.
The operative treatment of carpal tunnel syndrome is relatively simple and is carried out by doctors from various surgical specialities. In cases of persisting pain or postoperative worsening of the condition, the indication for the procedure could have been wrong or an iatrogenic complication may have to be taken into consideration. We have analysed 42 patients (48 hands) who underwent surgical treatment for carpal tunnel release from 1999 to 2003. We treated eight men and 34 women with an average age of 56 years in this way. Ten patients were initially operated upon by endoscopic release. We found an incompletely transected or even untouched retinaculum flexorum in 16 patients. In eight patients we found an iatrogenic nerve lesion and 24 patients developed serious scarring. Revision surgery should be undertaken only by a surgeon who is a specialist in hand surgery and has extensive experience in this field. In the same context, postoperative hand therapy is essential for a good result, which is performed by occupational therapists in our clinic.
腕管综合征的手术治疗相对简单，由各个外科专业的医生实施。在持续疼痛或术后病情恶化的情况下，手术指征可能有误，或者可能需要考虑医源性并发症。我们分析了1999年至2003年期间接受腕管松解手术治疗的42例患者（48只手）。我们以这种方式治疗了8名男性和34名女性，平均年龄为56岁。10例患者最初接受了内镜下松解手术。我们发现16例患者的屈肌支持带未完全切断甚至未触及。我们发现8例患者存在医源性神经损伤，24例患者出现严重瘢痕形成。翻修手术应由手部外科专家且在该领域有丰富经验的外科医生进行。在同样的情况下，术后手部治疗对于取得良好效果至关重要，在我们诊所由职业治疗师进行。
