目的:探讨妊娠并发重症腕管综合征的手术时机。方法:7例(13只手)伴有鱼际肌明显萎缩的重症患者,其中3例(6只手)待分娩后4周手术,4例(7只手)发病后立即手术。结果:分娩后6个月复查,分娩后手术组仅有2只手的功能评定为优,立即手术组全部为优(F isher极端概率法:P=0.021 0)。结论:妊娠期并发重症腕管综合征,应尽早手术。 Objective: To investigate the timing of surgery for severe carpal tunnel syndrome in pregnancy. METHODS: Totally 7 critically ill patients with a significant atrophy of the atresia muscle were recruited in 7 patients (6 hands) to be treated 4 weeks after delivery and 4 patients (7 hands) immediately after the onset of disease. RESULTS: Six months after delivery, the function of only two hands in the surgical group after childbirth was assessed as excellent, and the immediate surgical group was all excellent (F isher extreme probability method: P = 0.021 0). Conclusion: Severe carpal tunnel syndrome during pregnancy should be operated as soon as possible.