Rosén B, Lundborg G, Abrahamsson S O, Hagberg L, Rosén I
Department of Hand Surgery, Lund University, Malmö University Hospital, Sweden.
J Hand Surg Br. 1997 Oct;22(5):602-6. doi: 10.1016/s0266-7681(97)80356-7.
The sensory recovery was monitored for up to 1 year after decompression of the median nerve in 69 patients with carpal tunnel syndrome. Special attention was paid to the rate of recovery, the importance of constant or intermittent numbness or paraesthesiae preoperatively and the influence of gender. Most patients with numbness/paraesthesiae and those with abnormal two-point discrimination recovered within 10 days. Perception of touch and vibration recovered within 3 weeks in most patients but those with abnormal nerve conduction/sensory amplitude recovered slowly during follow-up. After 1 year patients with intermittent preoperative symptoms were significantly more likely to achieve normal nerve conduction and perception of touch. Women were more likely to achieve normal nerve conduction and perception of touch. A comparison of recovery between matched men and women with identical preoperative status showed no significant difference. The results indicate the importance of early treatment of carpal tunnel syndrome.
对69例腕管综合征患者进行正中神经减压术后，对其感觉恢复情况进行了长达1年的监测。特别关注了恢复速度、术前持续性或间歇性麻木或感觉异常的重要性以及性别的影响。大多数有麻木/感觉异常和两点辨别觉异常的患者在10天内恢复。大多数患者的触觉和振动觉在3周内恢复，但神经传导/感觉振幅异常的患者在随访期间恢复缓慢。术后1年，术前有间歇性症状的患者更有可能实现神经传导正常和触觉正常。女性更有可能实现神经传导正常和触觉正常。对术前状态相同的匹配男性和女性的恢复情况进行比较，结果显示无显著差异。结果表明早期治疗腕管综合征的重要性。
