Hodgkins M L, Grady D
West J Med. 1988 Feb;148(2):217-20.
Carpal tunnel syndrome is a common and potentially disabling condition. When suspected, the diagnosis can be readily made on clinical evidence without the the need for extensive ancillary tests. Primary physicians should be able to manage most patients with medical therapy. Patients for whom medical treatment fails or who present with weakness or thenar atrophy should be referred to a competent hand surgeon. Most patients can expect to have a good outcome if the diagnosis is made early, appropriate therapy is instituted, and a periodic reassessment is done to guide further clinical decisions.
腕管综合征是一种常见且可能导致残疾的病症。当怀疑患有该病时，根据临床证据即可轻松做出诊断，无需进行广泛的辅助检查。初级医师应能够通过药物治疗来处理大多数患者。对于药物治疗失败或出现肌无力或鱼际肌萎缩的患者，应转诊给专业的手外科医生。如果早期做出诊断、采取适当的治疗措施并定期进行重新评估以指导进一步的临床决策，大多数患者有望获得良好的治疗效果。
