Zhang Dafang, Earp Brandon E, Blazar Philip
Department of Orthopaedic Surgery, Brigham and Women's Hospital, Boston, MA; Harvard Medical School, Boston, MA.
Department of Orthopaedic Surgery, Brigham and Women's Hospital, Boston, MA; Harvard Medical School, Boston, MA.
J Hand Surg Am. 2019 Sep;44(9):779-786. doi: 10.1016/j.jhsa.2019.05.018. Epub 2019 Jul 9.
Carpal tunnel release (CTR) is a routine and effective surgical treatment for carpal tunnel syndrome. Dissatisfied patients after CTR are uncommon but present diagnostic and therapeutic challenges. This article discusses the most common reasons for unsuccessful CTR, the appropriate ensuing workup, and current evidence regarding revision surgery. The authors' preferred treatment algorithm for the surgical management of the unsuccessful CTR is presented.
腕管松解术（CTR）是治疗腕管综合征的一种常规且有效的外科手术。CTR术后不满意的患者并不常见，但却带来了诊断和治疗方面的挑战。本文讨论了CTR手术失败的最常见原因、后续适当的检查方法以及有关翻修手术的现有证据。文中还介绍了作者对于手术失败的CTR进行外科处理时首选的治疗方案。
