Pagnanelli D M, Barrer S J
Division of Neurosurgery, Abington Memorial Hospital.
J Neurosurg. 1991 Jul;75(1):77-81. doi: 10.3171/jns.1991.75.1.0077.
The operative technique for the relief of carpal tunnel syndrome has remained controversial. This report presents the results of 445 patients or 577 hands operated on using a transverse technique that varies little from that described by Paine and Polyzoidis. The patients were followed for 9 months to 3 years. In addition to the data received from follow-up visits, a questionnaire was sent to each patient for evaluation of their results. All surgery was performed under local anesthesia, sometimes with intravenous supplement. Of the 445 patients, 313 had unilateral operations and 132 had bilateral operations at one sitting. Postoperatively, normal hand function was achieved in 59.4% of patients in 1 week or less. Of the 577 hands operated on, 535 (92.7%) exhibited satisfactory results from surgery. No patient required postoperative physical therapy or splinting. There were no injuries to the median nerve or any of its branches.
缓解腕管综合征的手术技术一直存在争议。本报告介绍了445例患者（577只手）采用横向技术进行手术的结果，该技术与佩恩和波利佐伊迪斯所描述的技术差别不大。对患者进行了9个月至3年的随访。除了随访就诊获得的数据外，还向每位患者发送了一份问卷以评估其手术结果。所有手术均在局部麻醉下进行，有时辅以静脉补液。445例患者中，313例接受了单侧手术，132例一次性接受了双侧手术。术后，59.4%的患者在1周或更短时间内恢复了正常手部功能。在接受手术的577只手中，535只（92.7%）手术效果令人满意。没有患者需要术后物理治疗或使用夹板。没有正中神经及其任何分支受损的情况。
