Gassmann N, Segmüller G, Stanisic M
Handchirurgie. 1977;9(3):137-42.
In the advanced stage of the carpal tunnel syndrome with apparently "irreversible" loss of motor function and sensibility, epineural and interfascicular neurolysis has been recommended as an idjunct to the conventional decompression of the median nerve. Nevertheless the literature is lacking in data concerning recovery of motor function after operation. In addition to clinical examination, histological and electromyographic data are proveded to demonstrate the histo-pathological changes and the late results after neurolysis. Indications for the technique of this more radical operative procedure as well as late results are described.
在腕管综合征晚期,出现明显“不可逆”的运动功能和感觉丧失时,有人建议将神经外膜和束间神经松解术作为正中神经传统减压术的辅助手段。然而,文献中缺乏有关术后运动功能恢复的数据。除了临床检查外,还提供了组织学和肌电图数据,以证明神经松解术后的组织病理学变化和远期疗效。本文描述了这种更激进手术方法的适应证及远期疗效。