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[腕管综合征。手术治疗后的远期结果]

[Carpal tunnel syndrome. Late results following surgical treatment].

作者信息

Mayer M, Donner U, Fleischer D, Bruch M

机构信息

Chirurgischen Universitätsklinik, Ruhr-Universität Bochum, Marienhospital Herne.

出版信息

Zentralbl Chir. 1989;114(21):1401-10.

PMID:2557714
Abstract

Of 64 patients, who had undergone operation because of a carpal tunnel syndrome in the years 1982 to 1984, 39 patients could be reinvestigated. The measurement of the distal motor latency was useful as well in the diagnosis as in the course of the CTS. After operation the distal motor latency was normal in about 70.7% of the cases. A subjective improvement showed 69.9% of the patients. Patients with preoperative normal motor latency reached similar postoperative results. The diagnosis cannot made only on the basis of electrophysiologic pathological values, but has to take into account the clinical picture and neurological findings. Phalen's and Tinel's signs are useful helps in the diagnosis of CTS. The results after decompression of the median nerve depend on the length of history.

摘要

在1982年至1984年间因腕管综合征接受手术的64例患者中,39例患者可进行再次研究。远端运动潜伏期的测量在腕管综合征的诊断和病程中均有用。术后约70.7%的病例远端运动潜伏期正常。69.9%的患者有主观改善。术前运动潜伏期正常的患者术后结果相似。诊断不能仅基于电生理病理值,还必须考虑临床表现和神经学检查结果。Phalen征和Tinel征有助于腕管综合征的诊断。正中神经减压术后的结果取决于病史长短。

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