Friol J P, Chaise F, Gaisne E, Bellemère P
Département de Chirurgie de la Main et des Nerfs périphériques, Clinique Mutualiste de Loire-Atlantique, Nantes.
Ann Chir Main Memb Super. 1994;13(3):162-71. doi: 10.1016/s0753-9053(94)80042-1.
We report the results of endoscopic carpal tunnel release in 1,400 patients over a two year period (minimum 6-month follow-up). All patients were operated on using a technique derived from that of Chow. Complications were limited to two partial lesions of the superficial palmar arch and one interdigital nerve lesion. The technique is described. Analysis of the results indicates the advantages of this method. Though immediate post-operative comfort was greater and restoration of the grip quicker, the results were roughly similar to those of the classic method in the 6 months following surgery. Sympathetic dysfunction represented only 0.28% of cases. Patients generally returned to work earlier than with the classic technique. This method does not replace the conventional technique for certain indications. The authors emphasize the difficulties involved and recommend that this method be used only by experienced surgeons and aware of intra-operative risks.
我们报告了在两年时间里对1400例患者进行内镜下腕管松解术的结果（最短随访6个月）。所有患者均采用源自Chow技术的方法进行手术。并发症仅限于2例掌浅弓部分损伤和1例指神经损伤。对该技术进行了描述。结果分析表明了该方法的优点。虽然术后即刻舒适度更高，握力恢复更快，但术后6个月的结果与经典方法大致相似。交感神经功能障碍仅占病例的0.28%。患者通常比采用经典技术的患者更早重返工作岗位。对于某些适应证，该方法不能替代传统技术。作者强调了其中涉及的困难，并建议仅由经验丰富且了解术中风险的外科医生使用该方法。
