Study of ultrasound and nerve electromyogram in diagnosis of carpal tunnel syndrome and its severity in the elderly.

IF 6.5 3区工程技术 Q1 BIOTECHNOLOGY & APPLIED MICROBIOLOGY

Biotechnology & Genetic Engineering Reviews Pub Date : 2024-12-01 Epub Date: 2023-05-17 DOI:10.1080/02648725.2023.2213079

Xin Chen, Bo Zhang, Yu Yuan

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引用次数: 0

Abstract

Objective: To explore the diagnostic value of ultrasound and nerve electromyography (EMG) in the diagnosis of carpal tunnel syndrome (CTS) and its severity in the elderly.

Methods: The data of 140 elderly CTS patients were retrospectively analyzed. The data of 80 patients with other diseases with similar symptoms and high suspicion of CTS during the same period were retrospectively analyzed. Pearson method was used to analyze the correlation between cross-sectional area (CSA) and motor nerve conduction velocity (MCV), distal motor latency (DML), compound muscle action potential (CMAP), sensory conduction velocity (SCV), middle-latency (ML) and sensory nerve action potential (SNAP) levels. The value of CSA, MCV, DML, CMAP, SCV, ML and SNAP in the diagnosis of CTS and its severity was analyzed by receiver operating characteristic (ROC) curve.

Results: CSA in mild, moderate and severe groups was positively correlated with DML (P < 0.001) and negatively correlated with CMAP (P < 0.001). The area under the curve (AUC) values of CSA, MCV, DML, CMAP, SCV, ML and SNAP in the diagnosis of normal people and mild CTS were 0.877, 0.787, 0.921, 0.730, 0.860, 0.688 and 0.904. The AUC values of CSA, DML, CMAP, SCV, ML and SNAP in the diagnosis of mild and moderate CTS were 0.863, 0.890, 0.760, 0.848, 0.850 and 0.739, respectively. The AUC values of CSA, MCV, DML and CMAP in the diagnosis of mild and moderate CTS were 0.683, 0.660, 0.870 and 0.693.

Conclusion: Ultrasound and nerve EMG are effective in the diagnosis of CTS.

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超声波和神经肌电图在诊断老年人腕管综合征及其严重程度方面的研究。

目的：探讨超声波和神经肌电图对诊断老年人腕管综合征及其严重程度的价值：探讨超声波和神经肌电图（EMG）在诊断老年人腕管综合征（CTS）及其严重程度方面的诊断价值：方法：对 140 名老年 CTS 患者的数据进行回顾性分析。方法：对 140 名老年腕管综合征患者的资料进行回顾性分析，并对同期 80 名症状相似且高度怀疑患有腕管综合征的其他疾病患者的资料进行回顾性分析。采用皮尔逊法分析横截面积（CSA）与运动神经传导速度（MCV）、远端运动潜伏期（DML）、复合肌动作电位（CMAP）、感觉传导速度（SCV）、中潜伏期（ML）和感觉神经动作电位（SNAP）水平之间的相关性。通过接收器操作特征曲线（ROC）分析了 CSA、MCV、DML、CMAP、SCV、ML 和 SNAP 在诊断 CTS 及其严重程度中的价值：结果：轻度、中度和重度组的 CSA 与 DML 呈正相关：超声波和神经肌电图可有效诊断 CTS。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Biotechnology & Genetic Engineering Reviews BIOTECHNOLOGY & APPLIED MICROBIOLOGY-GENETICS & HEREDITY

CiteScore

6.50

自引率

3.10%

发文量

期刊介绍： Biotechnology & Genetic Engineering Reviews publishes major invited review articles covering important developments in industrial, agricultural and medical applications of biotechnology.