Wheatley M J, Kaul M P
Division of Plastic and Reconstructive Surgery, Portland Veterans Affairs Medical Center, Oregon Health Sciences University, 97201-3098, USA.
Ann Plast Surg. 1997 Nov;39(5):469-71. doi: 10.1097/00000637-199711000-00005.
Persistent or recurrent symptoms following endoscopic carpal tunnel release have been reported in 0.5% to 3% of patients undergoing this procedure. Unfortunately, preoperative risk factors for this complication have not been defined. We reviewed the records of 126 consecutive patients who underwent Agee single-portal endoscopic carpal tunnel release between June 1994 and March 1997. Five patients and six hands required subsequent open carpal tunnel release for persistent or recurrent carpal tunnel syndrome. Fulminant synovitis was identified during open carpal tunnel release in all reexplored patients, and four of the six hands were cured with open release and synovectomy. No recurrences were identified in the group of patients who presented with unilateral carpal tunnel syndrome. The presence of bilateral carpal tunnel syndrome may be a risk factor for persistent or recurrent carpal tunnel syndrome following endoscopic carpal tunnel release.
据报道，接受内镜下腕管松解术的患者中有0.5%至3%会出现持续性或复发性症状。遗憾的是，尚未明确该并发症的术前危险因素。我们回顾了1994年6月至1997年3月期间连续接受阿吉单通道内镜下腕管松解术的126例患者的记录。5例患者和6只手因持续性或复发性腕管综合征需要再次进行开放性腕管松解术。所有再次手术的患者在开放性腕管松解术中均发现有暴发性滑膜炎，6只手中有4只通过开放性松解术和滑膜切除术治愈。单侧腕管综合征患者组未发现复发情况。双侧腕管综合征的存在可能是内镜下腕管松解术后持续性或复发性腕管综合征的一个危险因素。
