Wilson K M
Division of Orthopedics and Rehabilitation, Oregon Health Sciences University, Portland 97201-3098.
J Hand Surg Am. 1994 Nov;19(6):907-12. doi: 10.1016/0363-5023(94)90088-4.
I prospectively evaluated the results of 30 consecutive patients with bilateral carpal tunnel release using two techniques. The first release was performed with a standard incision while the opposite hand underwent release by a double incision open technique. Postoperatively, subjective complaints of pain, grip strength, pinch strength, and pillar tenderness were evaluated at 1, 2, 4, 6, and 10 weeks. All patients expressed complete relief of preoperative numbness in both hands. The improvement in pinch and grip strength and lack of pillar tenderness in the hands that underwent the double incision open technique closely matched the reported results of endoscopic carpal tunnel release. There were no complications with either technique.
我前瞻性地评估了连续30例采用两种技术进行双侧腕管松解术患者的结果。首次松解采用标准切口，而对侧手则通过双切口开放技术进行松解。术后，在第1、2、4、6和10周评估疼痛、握力、捏力和柱状压痛的主观症状。所有患者双手术前麻木感均完全缓解。采用双切口开放技术的手在捏力和握力方面的改善以及柱状压痛的缺乏与内镜下腕管松解术报道的结果密切匹配。两种技术均未出现并发症。
