Slattery P G
Alfred Hospital, Melbourne.
Med J Aust. 1994 Feb 7;160(3):104-7.
To present my experience using the modified Chow two-portal technique of endoscopic carpal tunnel release.
Two hundred and fifteen patients with a clinical diagnosis of carpal tunnel syndrome of more than three months' duration, unresponsive to conservative treatment. Only those few with the specific contraindications of recurrence, a florid flexor tenosynovitis or an acute crush injury were excluded.
The operation used the modified Chow two-portal endoscopic method of carpal tunnel release. The original Chow method was used in another 15 patients.
Symptomatic relief of pain and paraesthesia.
Most patients made a rapid and dramatic recovery, with an early return to work, when compared with both my and patients' previous experience of open carpal tunnel release. Complications were few--two cases of mild reflex sympathetic dystrophy, two of unrelieved symptoms, and no permanent nerve or tendon injury.
The modified Chow two-portal technique of endoscopic release of the carpal tunnel is effective, with a rapid recovery and few complications--provided that it is done by a surgeon experienced in this method.
介绍我使用改良的Chow双入路内镜下腕管松解术的经验。
215例临床诊断为腕管综合征且病程超过3个月、对保守治疗无反应的患者。仅排除那些有复发、严重屈肌腱腱鞘炎或急性挤压伤等特定禁忌证的少数患者。
手术采用改良的Chow双入路内镜下腕管松解术。另外15例患者采用原Chow方法。
疼痛和感觉异常症状缓解情况。
与我和患者以往开放性腕管松解术的经验相比，大多数患者恢复迅速且显著，能早期重返工作岗位。并发症较少——2例轻度反射性交感神经营养不良，2例症状未缓解，无永久性神经或肌腱损伤。
改良的Chow双入路内镜下腕管松解术有效，恢复快且并发症少——前提是由有该方法经验的外科医生进行操作。
