Teitz C C, DeLisa J A, Halter S K
Clin Orthop Relat Res. 1985 Sep(198):197-200.
Forty-eight renal hemodialysis patients were evaluated clinically and electrodiagnostically for carpal tunnel syndrome (CTS). The incidence (32%) was significantly higher than that previously reported by other authors. All patients with CTS also had peripheral neuropathy by electrodiagnostic criteria. CTS was found four times as often in patients who had dialyzed longer than five years compared to those who had dialyzed less than five years. Patients with CTS were more likely to have an active or inactive access in the involved forearm than were patients without CTS. In patients with CTS treated by transverse carpal ligament release, 87.5% obtained relief from pain and numbness. Because of the high incidence of CTS in the chronic hemodialysis population, electrodiagnostic screening is recommended in these patients. Patients with clinical and electrodiagnostic signs of CTS will benefit from transverse carpal ligament release.
对48例肾透析患者进行了腕管综合征（CTS）的临床和电诊断评估。其发病率（32%）显著高于其他作者先前报道的发病率。根据电诊断标准，所有患有CTS的患者也患有周围神经病变。与透析时间少于5年的患者相比，透析时间超过5年的患者CTS的发病率高出四倍。与没有CTS的患者相比，患有CTS的患者在受累前臂更有可能有活跃或不活跃的血管通路。在接受腕横韧带松解术治疗的CTS患者中，87.5%的患者疼痛和麻木症状得到缓解。由于慢性血液透析人群中CTS的发病率较高，建议对这些患者进行电诊断筛查。有CTS临床和电诊断体征的患者将从腕横韧带松解术中受益。
