Bickel Kyle D
The Hand Center of San Francisco, San Francisco, CA 94109, USA.
J Hand Surg Am. 2010 Jan;35(1):147-52. doi: 10.1016/j.jhsa.2009.11.003.
Carpal tunnel syndrome (CTS) is the most common compressive neuropathy in the upper extremity. The condition is responsible for substantial annual costs to society, both in terms of lost productivity and the costs of treatment. Accurate diagnostic criteria, the selection of treatment strategies based on high-level evidence, and outcomes data have been inconsistent despite the prevalence of the condition. The increased awareness of the need for evidence-based practice guidelines has, however, yielded important data to guide treatment of CTS. Evidence-based guidelines for diagnosis and treatment have been developed and should direct the treatment of CTS.
腕管综合征（CTS）是上肢最常见的压迫性神经病变。这种疾病每年给社会带来巨大成本，包括生产力损失和治疗费用。尽管该疾病普遍存在，但准确的诊断标准、基于高级证据选择治疗策略以及结果数据一直不一致。然而，对循证实践指南需求的认识提高，已产生重要数据来指导腕管综合征的治疗。现已制定了诊断和治疗的循证指南，应指导腕管综合征的治疗。
