Conolly W B
Aust N Z J Surg. 1978 Aug;48(4):421-5. doi: 10.1111/j.1445-2197.1978.tb04891.x.
In the period 1972 to 1977, 35 patients with persistent pain and other disabilities after carpal tunnel decompression were referred for treatment. The pitfalls included: (i) wrong diagnosis--5 patients; (ii) inadequate decompression--9 patients; (iii) recurrent compression--4 patients; (iv) iatrogenic nerve injury--7 patients; and (v) postoperative complications--10 patients. The patients in Groups 1 and 5 were treated by non-operative measures. Most of the patients in Groups 2, 3, and 4 were treated by reoperation. This paper outlines the causes and prevention of pitfalls in carpal tunnel decompression.
在1972年至1977年期间，35例腕管减压术后仍有持续性疼痛和其他功能障碍的患者被转诊接受治疗。其中存在的问题包括：（i）误诊——5例；（ii）减压不充分——9例；（iii）再次受压——4例；（iv）医源性神经损伤——7例；以及（v）术后并发症——10例。第1组和第5组的患者采用非手术措施治疗。第2组、第3组和第4组的大多数患者接受了再次手术治疗。本文概述了腕管减压术中存在问题的原因及预防措施。
