Frick A, Baumeister R G, Kopp R
Chirurgischen Klinik und Poliklinik der Universität München.
Handchir Mikrochir Plast Chir. 1996 May;28(3):147-50.
Endoscopic carpal tunnel release is frequently recommended. This technique allows only for division of the retinaculum flexorum, but does not enable the surgeon to address concommitant synovialitis or compression of the motor branch of the median nerve. In 67 patients, we attempted to differentiate the indications for procedures by endoscopic versus open carpal tunnel release. Beside an electrophysiological investigation, sonography of the wrist was performed to evaluate the extent of accompanying tenosynovialitis of the flexor tendons. A possible participation of the thenar branch was examined by electromyography. If there were no additional pathologic findings in the preoperative diagnostic work-up, a simple carpal tunnel release was performed. In all other cases, open surgical release was performed.
内镜下腕管松解术常被推荐。该技术仅能切开屈肌支持带，但无法让外科医生处理合并的滑膜炎或正中神经运动支受压问题。在67例患者中，我们试图区分内镜下与开放性腕管松解术的手术适应证。除了进行电生理检查外，还对手腕进行超声检查以评估屈肌腱伴发腱鞘炎的程度。通过肌电图检查来评估鱼际支是否受累。如果术前诊断检查没有其他病理发现，则进行单纯的腕管松解术。在所有其他情况下，进行开放性手术松解。
