Anderson B A
Methodist Hospital, Houston.
AORN J. 1993 Feb;57(2):413-9, 422-5, 428. doi: 10.1016/s0001-2092(07)64100-3.
Endoscopic carpal tunnel decompression is a new and effective way of relieving CTS. It shortens the recovery period and the length of time required to resume normal postoperative activity. The majority of our patients have experienced relief of symptoms and, in instances where the opposite hand was affected by CTS, have returned for that hand to be surgically repaired. Because there is less trauma with this method, and because of the patient's rapid recovery, it is common to perform bilateral releases. It is thought that patients who require surgical intervention will choose to have the procedure done sooner because of the availability of endoscopy, thereby decreasing the incidence of entrapment neuropathy that occurs late in the CTS process.
内镜下腕管减压术是一种治疗腕管综合征的新型有效方法。它缩短了恢复期以及术后恢复正常活动所需的时间。我们的大多数患者症状都得到了缓解,而且在对侧手也受到腕管综合征影响的情况下,他们会回来要求对该手进行手术修复。由于这种方法创伤较小,且患者恢复迅速,所以双侧减压手术很常见。人们认为,由于有了内镜技术,需要手术干预的患者会选择尽早进行手术,从而降低腕管综合征后期发生卡压性神经病的发生率。