Müller H
Schweiz Med Wochenschr. 1980 Jun 7;110(23):907-11.
The healing rates in carpal tunnel syndrome following surgical decompression are known to be excellent only in those cases which mainly show signs and symptoms without marked and permanent muscular atrophy of the thenar (i.e. without advanced damage to the motor units of the median nerve). In accordance with the findings of CURTIS (1973) we have added microsurgical techniques in a group of patients with very advanced disease. In a first series definite clinical recovery of the motor units of the median nerve was found in 80%. These clinical findings are now confirmed by the electrophysiological findings in a group of cases examined pre- and postoperatively by identical electrophysiological parameters. The results are discussed. To avoid additional damage to the nerve, experience in microsurgical techniques is of the utmost importance.
已知仅在那些主要表现出症状和体征且无明显和永久性鱼际肌萎缩（即正中神经运动单位无严重损伤）的腕管综合征病例中，手术减压后的愈合率才极佳。根据柯蒂斯（1973年）的研究结果，我们在一组病情非常严重的患者中增加了显微外科技术。在首个系列研究中，发现80%的患者正中神经运动单位有明确的临床恢复。一组术前和术后通过相同电生理参数检查的病例的电生理结果现已证实了这些临床发现。对结果进行了讨论。为避免对神经造成额外损伤，显微外科技术经验至关重要。
