Stark B, Engkvist-Löfmark C
Klinik für Handchirurgie, Södersjukhuset, Stockholm, Schweden.
Handchir Mikrochir Plast Chir. 1996 May;28(3):128-32.
A prospective, randomized study was performed on twenty patients with bilateral carpal tunnel syndrome. Each patient had traditional open surgery on one side and single portal endoscopic release on the other. Follow-up examinations were undertaken at two, four, and twelve weeks and at eight months. The period between the two operative procedures was meanly three months (two to four months). The dominant hand was released endoscopically according to Agee in eleven cases and the non-dominant hand in nine cases. Sixteen out of twenty patients preferred the endoscopic release. Complications did not occur more frequently in patients operated endoscopically. The preoperative symptoms were relieved equally in both groups. Return to work or leisure activities was earlier in the endoscopic collective (20 days) in contrast to 30 days in the traditional operated group.
对20例双侧腕管综合征患者进行了一项前瞻性随机研究。每位患者一侧进行传统开放手术，另一侧进行单通道内镜松解术。在术后2周、4周、12周和8个月进行随访检查。两次手术之间的间隔平均为3个月（2至4个月）。11例患者优势手采用阿吉（Agee）内镜松解术，9例患者非优势手采用该术式。20例患者中有16例更喜欢内镜松解术。内镜手术患者并发症发生率并未更高。两组患者术前症状均得到同等程度缓解。与传统手术组的30天相比，内镜手术组患者恢复工作或休闲活动的时间更早（20天）。
