INTERNAL NEUROLYSIS FAILS TO IMPROVE THE RESULTS OF PRIMARY CARPAL-TUNNEL DECOMPRESSION
INTERNAL NEUROLYSIS FAILS TO IMPROVE THE RESULTS OF PRIMARY CARPAL-TUNNEL DECOMPRESSION
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DOI：
10.1016/s0363-5023(10)80099-1
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发表时间：
1991-03-01
影响因子：
1.9
通讯作者：
BURKE, GM
中科院分区：
文献类型：
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作者：
MACKINNON, SE;MCCABE, S;BURKE, GM
这项前瞻性随机研究比较了原发性腕管综合征患者的两种治疗方法。32只手(30例)行腕横韧带减压术，31只手(29例)行腕横韧带减压术加正中神经内松解术。88%的腕韧带松解患者和81%的腕韧带松解加内神经松解术患者的症状得到缓解。两个治疗组在手感觉测试、大鱼际肌力量和萎缩方面都有改善，但两组之间没有统计学差异。在腕横韧带分离的基础上加用内神经松解术并不能显著改善原发性腕管综合征患者的感觉或运动功能。
This prospective, randomized study compares two treatment methods in patients with primary carpal tunnel syndrome. Decompression of the transverse carpal ligament was done in thirty-two hands (thirty patients) and decompression of the transverse carpal ligament with the addition of an internal neurolysis of the median nerve was done in thirty-one hands (twenty-nine patients). Relief of symptoms was described in eighty-eight percent of the patients with carpal ligament release and eighty-one percent of patients with carpal ligament release plus internal neurolysis. Improvement in hand sensibility testing, in thenar muscle strength, and atrophy was noted in both treatment groups with no statistical difference between groups. The addition of an internal neurolysis to division of the transverse carpal ligament does not add significant improvement in the sensory or motor outcome of patients with primary carpal tunnel syndrome.