高频超声在腕管综合征临床分型判定中的价值

发布时间：2018-06-10 05:11

本文选题：高频超声 + 腕管综合征　；参考：《中国超声医学杂志》2017年11期

【摘要】：目的高频超声在腕管综合征(CTS)临床分型判定中的价值分析。方法选取临床确诊为CTS的患者139例(139只手腕),按照《腕管综合征的临床分型与治疗方案》[1]分为轻中重三型,轻型保守治疗,中重型手术治疗,所有患者均于治疗前行超声检查测量正中神经左右径、前后径及腕横韧带厚度,计算正中神经扁平率,且中重型与术中测量值对比,分析高频超声检查在临床诊断分型中的特异度及灵敏度。结果高频超声测量与术中测量正中神经左右径、前后径及腕横韧带厚度的结果无统计学差异;从临床分型上看,中重型各项指标差异未见统计学意义,中重型与轻型患者指标具有明显差异。结论通过与术中对比,高频超声测量具有较高的准确性;高频超声检查是量化腕管综合征临床分型的良好检测手段,对治疗方案的选择有很大帮助,豌豆骨截面正中神经扁平率可作为区分临床分型的关键指标。
[Abstract]:Objective to evaluate the value of high-frequency ultrasound in clinical classification of carpal tunnel syndrome (CTS). Methods 139 patients with CTS were selected and divided into three types according to the clinical classification and treatment plan of carpal tunnel syndrome, mild conservative treatment, moderate and severe surgical treatment, according to the clinical classification and treatment plan of carpal tunnel syndrome. The left and right diameter of median nerve, anteroposterior diameter and thickness of transverse carpal ligament were measured by ultrasound before treatment, the flat rate of median nerve was calculated, and the value of median nerve was compared with that measured during operation. To analyze the specificity and sensitivity of high frequency ultrasonography in clinical diagnosis. Results there was no significant difference in the left and right diameter of median nerve, the anterior and posterior diameter and the thickness of transverse carpal ligament between high frequency ultrasound measurement and intraoperative measurement. There was significant difference between moderate and severe patients and mild patients. Conclusion High frequency ultrasound is a good method for quantifying the clinical classification of carpal tunnel syndrome, which is helpful to the choice of treatment scheme. The median nerve flattening rate of pea bone can be used as a key index to distinguish clinical classification.
【作者单位】：唐山市第二医院超声科;唐山市第二医院手外科;华北理工大学附属医院超声科;邯郸市人民医院超声科;
【分类号】：R445.1;R688

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