Schwarz A, Keller F, Seyfert S, Pöll W, Molzahn M, Distler A
Dtsch Med Wochenschr. 1984 Feb 24;109(8):285-9. doi: 10.1055/s-2008-1069181.
145 patients on haemodialysis for 1 month to 16 years were examined for carpal tunnel syndrome. Typical signs and symptoms of the syndrome, mostly in both hands but more pronounced on one side, were seen in 21 patients (15%). In these cases carpal tunnel syndrome was frequently (19%) accompanied by Raynaud's phenomenon of the digits supplied by the median nerve. There was a significant correlation between the incidence of carpal tunnel syndrome and the duration of dialysis. The association of carpal tunnel syndrome with analgesic nephropathy was significantly higher than with other kidney diseases. Immediate relief of pain was achieved after carpal tunnel release in eight patients (11 hands). Sensory and motor function was gradually, but often only partially, restored. Unoperated carpal tunnel syndrome progressed to loss of sensory and motor function within 1 to 4 years after onset of symptoms. Carpal tunnel syndrome should be considered an important late complication of chronic haemodialysis.
对145例接受血液透析1个月至16年的患者进行了腕管综合征检查。21例（15%）患者出现了该综合征的典型体征和症状，大多累及双手，但一侧更为明显。在这些病例中，腕管综合征常（19%）伴有正中神经支配手指的雷诺现象。腕管综合征的发生率与透析时间存在显著相关性。腕管综合征与镇痛剂肾病的关联显著高于其他肾脏疾病。8例患者（11只手）在腕管松解术后疼痛立即缓解。感觉和运动功能逐渐恢复，但通常仅部分恢复。未接受手术的腕管综合征在症状出现后1至4年内会进展为感觉和运动功能丧失。腕管综合征应被视为慢性血液透析的一种重要晚期并发症。
