Nagle D, Harris G, Foley M
Department of Clinical Orthopaedic Surgery, Northwestern University Medical School, Chicago, IL 60611.
Arthroscopy. 1994 Jun;10(3):259-65. doi: 10.1016/s0749-8063(05)80108-2.
The results of 278 endoscopic carpal tunnel releases using the extrabursal dual portal Chow technique were analyzed prospectively. The majority of patients were pain free by the 57th postoperative day. The perioperative complication rate was 1.7%. The late complication rate was 2.8%. Two cases were converted to open carpal tunnel release. The average time to return to full-duty work was 65 days in those patients covered by worker's compensation, whereas it was 21 days in the privately insured (non-worker's compensation) patients. The endoscopic release of the transverse carpal ligament is an effective technique for the treatment of carpal tunnel syndrome with a low complications rate. Return to full employment requires more time in those patients covered by worker's compensation.
对采用腕管外双入路Chow技术进行的278例内镜下腕管松解术的结果进行了前瞻性分析。大多数患者在术后第57天疼痛消失。围手术期并发症发生率为1.7%。晚期并发症发生率为2.8%。有2例转为开放式腕管松解术。在接受工伤赔偿的患者中，平均恢复全职工作的时间为65天，而在私人投保（非工伤赔偿）的患者中为21天。内镜下横腕韧带松解术是治疗腕管综合征的一种有效技术，并发症发生率低。接受工伤赔偿的患者恢复全职工作所需时间更长。
