Bozentka D J, Osterman A L
Hand Surgery Section, Hospital of the University of Pennsylvania, Philadelphia, USA.
Hand Clin. 1995 Feb;11(1):91-5.
Carpal tunnel release has a high rate of success when the open or endoscopic technique is used. The reported complications of the endoscopic procedure have included incomplete release of the transverse carpal ligament and injury to the neurovascular structures or flexor tendons. The complication rates are comparable when performed by surgeons well versed in the technique. The procedure is technically demanding but can be performed safely with an understanding of the anatomic structures at risk and strict adherence to surgical methods. The technique has a steep learning curve and requires considerable practice on cadaveric specimens after attendance at one of the available courses.
当采用开放式或内窥镜技术时，腕管松解术的成功率很高。内窥镜手术报告的并发症包括腕横韧带松解不完全以及神经血管结构或屈肌腱损伤。由精通该技术的外科医生进行手术时，并发症发生率相当。该手术对技术要求较高，但在了解有风险的解剖结构并严格遵守手术方法的情况下可以安全进行。该技术的学习曲线较陡，在参加其中一门可用课程后，需要在尸体标本上进行大量练习。
