Kulick R G
Department of Orthopaedic Surgery, Albert Einstein College of Medicine, Bronx, New York, USA.
Orthop Clin North Am. 1996 Apr;27(2):345-54.
Patients with carpal tunnel syndrome should be told that it is a progressive condition that, if not treated, probably will worsen as time goes on. When release is performed properly, they have an excellent chance for substantial improvement, although some always may have a degree of residual numbness at the fingertips. Initial relief of pain is rapid, with subsequent improvement in numbness and weakness occurring more slowly. Carpal tunnel syndrome is a very common problem. Although there may be a distinct cause in some patients, the underlying reason for the increased bulk of synovium is not known in most. Conservative treatment gives temporary relief, but surgical release remains the most effective treatment. Complications are not common, and proper attention to details minimizes them. The results generally are excellent.
患有腕管综合征的患者应被告知，这是一种渐进性疾病，如果不进行治疗，随着时间的推移可能会恶化。如果手术松解操作得当，患者有很大机会实现显著改善，尽管有些人指尖可能总会有一定程度的残留麻木感。疼痛最初会迅速缓解，随后麻木和无力的改善则较为缓慢。腕管综合征是一个非常常见的问题。虽然有些患者可能有明确病因，但大多数患者滑膜增厚的根本原因尚不清楚。保守治疗能提供暂时缓解，但手术松解仍是最有效的治疗方法。并发症并不常见，对细节给予适当关注可将其降至最低。总体效果通常很好。
