Chang B, Dellon A L
Division of Plastic Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland.
J Hand Surg Br. 1993 Aug;18(4):467-70. doi: 10.1016/0266-7681(93)90148-9.
An approach to the surgical management of recurrent carpal tunnel syndrome was evaluated in 30 patients with 35 involved wrists. This includes internal neurolysis of the median nerve and early post-operative mobilization of the wrist and fingers. The preferred surgical approach is through a second, more ulnar incision. Clinical assessment of sensorimotor function was converted into a numerical score ranging from zero (normal) to 9 (anaesthesia) and 10 (atrophy, severe). The average pre-operative score was mean 6.5 and median 7. At a mean follow-up of 23.5 months, the average post-operative score was mean 1.8 and median 0, a statistically significant improvement (P < 0.001).
对30例患者的35只受累手腕进行了复发性腕管综合征手术治疗方法的评估。这包括正中神经的内部神经松解术以及术后早期的手腕和手指活动。首选的手术入路是通过第二个更靠尺侧的切口。感觉运动功能的临床评估被转换为一个数字评分，范围从0（正常）到9（麻醉）和10（萎缩，严重）。术前平均评分为6.5，中位数为7。平均随访23.5个月时，术后平均评分为1.8，中位数为0，有统计学显著改善（P < 0.001）。
