Herczeg E, Otto A, Vass A, Piza-Katzer H
Abteilung für Plastische und Wiederherstellungschirurgie, Wiederherstellungschirurgie, Wien.
Handchir Mikrochir Plast Chir. 1997 May;29(3):144-6.
From June 1992 to October 1995, 224 patients were operated on carpal tunnel syndrome. We treated 71 male and 153 female patients. During our investigations, we found that one third of the patients suffered from a double crush syndrome. 84% of the patients suffered from one or more predisposing accompanying diseases. In most of them (42%) we found rheumatic diseases, 19% diabetes mellitus, 8% hyperuricaemia, and 6% hypothyreosis. In 33%, we observed a very short history and a bilateral carpal tunnel syndrome. According to the preoperative tests, four different groups of patients regarding electrophysiological parameters and the graduation of thenar atrophy were differentiated. The fourth group was composed of patients with double crush syndrome, who continued to complain of considerable pain despite surgery, the operated hand remaining both weak and awkward in its movements. Inspired by the prospective study by Dellon (1992) and our results, we will perform a retrospective analysis of the longterm effect of carpal tunnel release in diabetic neuropathy.
1992年6月至1995年10月，224例患者接受了腕管综合征手术。我们治疗了71例男性患者和153例女性患者。在我们的调查中，我们发现三分之一的患者患有双重压迫综合征。84%的患者患有一种或多种易患伴随疾病。其中大多数（42%）患有风湿性疾病，19%患有糖尿病，8%患有高尿酸血症，6%患有甲状腺功能减退症。在33%的患者中，我们观察到病程非常短且为双侧腕管综合征。根据术前检查，根据电生理参数和鱼际肌萎缩程度将患者分为四组。第四组由患有双重压迫综合征的患者组成，尽管接受了手术，但他们仍持续抱怨有相当大的疼痛，手术手仍然虚弱且动作笨拙。受Dellon（1992年）的前瞻性研究和我们的结果启发，我们将对腕管松解术治疗糖尿病性神经病变的长期效果进行回顾性分析。
