Björkqvist S E, Lang A H, Punnonen R, Rauramo L
Acta Obstet Gynecol Scand. 1977;56(2):127-30. doi: 10.3109/00016347709158354.
Electrophysiological parameters were studied in 32 gynecological patients before and after major gynecological surgery. No changes in maximal nerve conduction velocity or simple reaction time could be found after either hysterectomy or ovariectomy. Of the 20 ovariectomized patients, 3 developed subjective symptoms and electrophysiological signs of the carpal tunnel syndrome within a few months after surgery. Thus the carpal tunnel syndrome, which is common in women of menopausal age, seems to be precipitated also by iatrogenic menopause. The present findings indicate that ovarian relaxin overproduction cannot be the basis of the carpal tunnel syndrome, but they are consistent with the view that the syndrome is a sign of hypothalamichypophyseal overactivity or imbalance.
对32例妇科大手术患者在手术前后进行了电生理参数研究。子宫切除或卵巢切除术后，最大神经传导速度或简单反应时间均未发现变化。在20例接受卵巢切除术的患者中，有3例在术后数月内出现了腕管综合征的主观症状和电生理体征。因此，在绝经年龄女性中常见的腕管综合征似乎也可由医源性绝经引发。目前的研究结果表明，卵巢松弛素分泌过多并非腕管综合征的病因，但与该综合征是下丘脑 - 垂体活动过度或失衡的表现这一观点相符。
