Aulisa L, Tamburrelli F, Padua R, Romanini E, Lo Monaco M, Padua L
Institute of Orthopaedics, Universitá Cattolica, Rome, Italy.
J Hand Surg Am. 1998 Jul;23(4):687-91. doi: 10.1016/s0363-5023(98)80056-7.
A prospective study of 50 hands from 45 consecutive patients surgically treated for idiopathic carpal tunnel syndrome was conducted to determinate the recovery capacity of the median nerve after open surgical release. Subjects were evaluated by clinical history, physical examination, and electrophysiologic testing. Motor and sensory terminal latencies and motor and sensory conduction velocities were examined before surgery and 2 weeks, 2 months, and 6 months after surgical decompression. All patients showed improvement of postoperative electrophysiologic values; the amount of improvement was dependent on the degree of preoperative impairment. Complete restoration of clinical and electrophysiologic nerve function was observed only in patients with mild carpal tunnel syndrome.
对45例连续接受手术治疗特发性腕管综合征的患者的50只手进行了一项前瞻性研究，以确定开放性手术松解后正中神经的恢复能力。通过临床病史、体格检查和电生理测试对受试者进行评估。在手术前以及手术减压后2周、2个月和6个月检查运动和感觉末端潜伏期以及运动和感觉传导速度。所有患者术后电生理值均有改善；改善程度取决于术前损伤程度。仅在轻度腕管综合征患者中观察到临床和电生理神经功能的完全恢复。
