腕管是由腕骨和腕横韧带围成的通道，有正中神经和肌腱通过。当各种原因造成腕管狭窄，或其内容物肿胀，均会对正中神经造成压迫，产生其支配区域的疼痛、麻木、无力等症状。轻者仅需要将腕关节制动于中立位休息即可，严重者需要手术治疗。
Carpal Tunnel Syndrome
腕管综合征
The carpal tunnel is a narrow passage in the wrist. It is formed by wrist bones on the bottom and sides, and a tough band of connective tissue called the transverse carpal ligament on top.
腕管是腕部的一个狭窄的通道，其底面和侧面由腕骨构成，顶面是一束坚韧的结缔组织，称为腕横韧带。
Muscle tendons and median nerve path through the carpal tunnel.
腕管内有肌腱和正中神经通过。
The median nerve controls muscles in the palm and base of the thrumb, allowing them to move. It also provides feeling to the thrumb and nearby two and a half fingers.
正中神经控制手掌和拇指根部的肌肉的活动，并支配拇指及其邻近两指半的感觉。
Carpal tunnel syndrome is a condition where tissue swelling causes the pressure to build up within the carpal tunnel. This put pressure on the median nerve. Over time, median nerve pressure results in symptoms in the area of hand it supplies.
腕管综合征是组织肿胀引起腕管内压力增高，压迫正中神经，产生其支配区域的症状的一种疾病。
Common symptoms in this area are pain, numbness, tingling and weakness.
常见的症状是该区域的疼痛、麻木、针刺感和无力。
Risk factors for carpal tunnel syndrome include a smaller carpal tunnel from being female or from gene pass down from parents, wrist injuries, other medical conditions that cause inflammation, fluid build up, or nerve damage, such as diabetes,pregnancy, rheumatoid arthritis, obesity, and hypothyroidism, and repetitive hand or wrist motions.
腕管综合征的危险因素包括：女性或由父母遗传而造成的腕管较小，腕关节损伤，其它疾病引起的炎症、积液或神经损伤，比如糖尿病、妊娠、类风湿性关节炎、肥胖、甲状腺功能减退，以及手和腕关节反复的活动。
A common treatment for mild to moderate carpal tunnel syndrome is keeping the wrist in a neutral position by wearing a brace or splint.
轻到中度的腕管综合征的治疗是通过护腕和夹板保持腕关节于中立位。
In addition, non-steroid anti-inflammation drugs(NSAIDs) may help relief pain.
另外，非甾体类抗炎药有助于缓解疼痛。
A doctor may also recommend coritcosteroid injction to reducing inflammation and swelling.
医生还会推荐类固醇激素注射来缓解炎症和肿胀。
For moderate to severe symptoms, a doctor may recommend surgical procedure called carpal tunnel release. This procedure may be done as an open procedure, through an incision in the palm and wrist, or it may be done as an endoscopic procedure, through a small key hole incision.The surgeon will perform this procedure with an endoscope, which is a device containing a tiny camera and surgical instruments.
对于中度到重度症状者，医生会建议行腕解松解手术，包括通过在手掌和腕部作一个切口进行开放手术，或通过微小的钥匙孔样的切口进行关节镜下手术。在后者，医生用包含有微小摄像头的关节镜和其它手术器械进行手术。
In both procedures, the transverse carpal ligament will be cut to relief pressure on the median nerve.
两个手术中，腕横韧带均需要切开，以缓解正中神经的压力。
At the end of either procedure, the incision will be closed with sutures.
在两个手术的最后，缝合关闭切口。
（胡佰文 听译）
联系客服
