Agee J M, Peimer C A, Pyrek J D, Walsh W E
Hand Biomechanics Laboratory, Sacramento, CA 95825, USA.
J Hand Surg Am. 1995 Mar;20(2):165-71; discussion 172. doi: 10.1016/S0363-5023(05)80001-2.
A 63-center prospective study of endoscopic carpal tunnel release using the Agee Carpal Tunnel Release System was conducted in 1049 procedures in 988 patients. Prior experience with endoscopic release varied significantly among surgeon participants. Surgeons evaluated the newly redesigned system for blade visibility, blade height, and mechanical function. Data on patient complications were collected at the time of surgery and 3-4 weeks postoperative. The results indicated minimal complications and no confirmed injuries to vessels or nerves; the symptoms from one possible digital nerve injury eventually resolved completely. Surgeons were able to observe the point of entry of the blade into the transverse carpal ligament in 97.5% of procedures. Introduction of the blade assembly into the carpal tunnel was rated easy or adequate in 90.6% of procedures, and blade height was rated adequate in 97.4% of procedures.
一项使用阿吉腕管松解系统进行内镜下腕管松解术的63中心前瞻性研究，对988例患者进行了1049例手术。外科医生参与者在内镜松解方面的既往经验差异很大。外科医生对新重新设计的系统的刀片可视性、刀片高度和机械功能进行了评估。在手术时和术后3至4周收集患者并发症的数据。结果显示并发症极少，未证实有血管或神经损伤；一例可能的指神经损伤症状最终完全消失。在97.5%的手术中，外科医生能够观察到刀片进入腕横韧带的点。在90.6%的手术中，刀片组件插入腕管被评为容易或合适，在97.4%的手术中，刀片高度被评为合适。
