实时超声评价正中神经活动度联合横截面积测量诊断腕管综合征

发布时间：2018-03-22 01:41

  本文选题：腕管综合征　切入点：超声检查　出处：《中国超声医学杂志》2015年12期 　论文类型：期刊论文

【摘要】：目的探讨实时超声评价正中神经活动度联合横截面积测量诊断腕管综合征(CTS)的意义。方法单侧非急性CTS患者43例,实时超声评价正中神经活动度及测量豌豆骨水平的横截面积(CSAP),与健侧手及对照组比较,术前与术后(6个月)比较。结果正中神经移动试验(MTUS)阳性率和CSAP测值在CTS患侧与健侧手及对照组比较、术前与术后比较均有统计学意义(均P0.05)。联合MTUS阳性和CSAP≥10.0mm2诊断CTS,采用平行或系列试验法可以提高其诊断的灵敏度或特异度。结论 MTUS可作为CTS正中神经动力学异常的高特异度检出方法。
[Abstract]:Objective to evaluate the diagnostic value of median nerve activity combined with cross-sectional area measurement in the diagnosis of carpal tunnel syndrome (CTS) by real-time ultrasound. Methods 43 patients with unilateral non-acute CTS were included in this study. The median nerve activity and the cross sectional area of pea bone were evaluated by real time ultrasound, and compared with those of healthy hand and control group. Results the positive rate of median nerve movement test (MNT) and the value of CSAP were compared between the affected side of CTS and the healthy hand and the control group before and after operation (6 months). There was significant difference between preoperative and postoperative (P0.05%). Combined with MTUS positive and CSAP 鈮，

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