Loebe M, Heidrich H
Medical Service, Franziskus-Krankenhaus, Berlin, West Germany.
Angiology. 1988 Oct;39(10):891-901. doi: 10.1177/000331978803901006.
Forty patients with clinically and electromyographically proven carpal tunnel syndrome were examined for the frequency of concomitantly occurring Raynaud's phenomenon. The angiologic work-up was based on a detailed vascular history and examination, Doppler sonography to determine systolic digital artery pressures before and after exposure to the cold (10 degrees C for one minute), and thermoplate tests for recording heat convection of the hands at normal room temperature and measuring rewarming time after standardized cold exposure. Only 10% of the patients were found to have manifest Raynaud's phenomenon. The incidence was thus the same as in the general population. In addition, Raynaud's phenomenon and the carpal tunnel syndrome were poorly correlated with respect to their preliminary symptom appearances. Consequently, the carpal tunnel syndrome can no longer be regarded as a disease underlying Raynaud's phenomenon.
对40例经临床和肌电图证实患有腕管综合征的患者进行检查，以确定同时出现雷诺现象的频率。血管检查基于详细的血管病史和检查、多普勒超声检查以确定手部暴露于寒冷环境（10摄氏度，持续1分钟）前后的指动脉收缩压，以及使用热板试验记录正常室温下手部的热对流情况并测量标准化冷暴露后的复温时间。结果发现只有10%的患者有明显的雷诺现象。因此，其发病率与普通人群相同。此外，雷诺现象和腕管综合征在初始症状出现方面相关性较差。因此，腕管综合征不能再被视为雷诺现象的潜在病因。
