Müller L P, Rudig L, Blum J, Degreif J
Klinik und Poliklinik für Unfallchirurgie, Johannes-Gutenberg-Universität Mainz.
Handchir Mikrochir Plast Chir. 1997 Sep;29(5):238-42.
Reviewing the literature on endoscopic carpal tunnel release (biportal Chow-technique and uniportal Agee-technique), we found 31 different intra- and postoperative complications. Of these, 14 affected nerve structures, four vessel structures, two tendon structures, two bony structures, and nine surrounding tissues. The most common complications were analyzed taking anatomical and pathological variations of the carpal tunnel into consideration. In our own prospective series of 88 endoscopic releases of the carpal tunnel using the Agee technique, we had eleven complications: one patient suffered residual symptoms, five patients experienced transient ulnar neurapraxia, and one patient complained of intense pain in the middle- and ringfinger after the operation. In four cases, intraoperative change of technique from endoscopic to open became necessary, due to poor visualization.
回顾关于内镜下腕管松解术（双门Chow技术和单门Agee技术）的文献，我们发现了31种不同的术中和术后并发症。其中，14种影响神经结构，4种影响血管结构，2种影响肌腱结构，2种影响骨骼结构，9种影响周围组织。考虑到腕管的解剖和病理变异，对最常见的并发症进行了分析。在我们自己使用Agee技术对88例腕管进行内镜松解的前瞻性系列研究中，我们有11例并发症：1例患者有残留症状，5例患者出现短暂性尺神经失用，1例患者术后抱怨中指和环指剧痛。在4例病例中，由于视野不佳，术中需要从内镜技术改为开放技术。
