Benedetti V R, Sennwald G
Chirurgie St. Leonhard, St. Gallen.
Handchir Mikrochir Plast Chir. 1996 May;28(3):151-5.
This prospective randomized study consists of 45 patients, i.e., 33 women and 12 men with an average age of 52.7 years. The following parameters were evaluated: rate of complications, recovery of pinch and strength of grip, radiological widening of the transverse carpal arch, postoperative morbidity, particularly the time of return to work, and to activities of daily living. Compared with open decompression, the group of endoscopic decompression needs significantly less time to get back to work (one third; p = 0.003). This seems to be related to a significantly faster restoration of strength of grip (p = 0.f12) after endoscopic decompression of the median nerve. Pinch grip improves faster in the group of endoscopic decompression as well, however, not significantly, compared with open decompression. No significant difference between the two techniques has been detected in the radiological widening of the transverse carpal arch.
这项前瞻性随机研究包括45名患者，即33名女性和12名男性，平均年龄为52.7岁。评估了以下参数：并发症发生率、捏力恢复和握力、腕横弓的放射学增宽、术后发病率，尤其是重返工作岗位的时间以及恢复日常生活活动的时间。与开放式减压相比，内镜减压组恢复工作所需时间明显更少（三分之一；p = 0.003）。这似乎与正中神经内镜减压后握力恢复明显更快（p = 0.12）有关。与开放式减压相比，内镜减压组的捏力改善也更快，但不显著。在腕横弓的放射学增宽方面，未检测到两种技术之间存在显著差异。
