类风湿关节炎患者与健康人正中、尺神经的超声比较。

IF 1.1 4区 医学 Q4 Medicine
Çiğdem Atan Uzun, İsmihan Sunar, Zafer Günendi, Feride Nur Göğüş
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引用次数: 1

摘要

目的:在本研究中,我们旨在通过超声检查无神经系统受累体征或症状的RA患者尺神经和正中神经横截面积(csa)。患者和方法:本病例对照研究共纳入76例受试者(女性72例,男性4例;平均年龄:53.2+10.9岁;从2011年4月到2013年4月,年龄从18岁到65岁不等。在参与者中,38名RA患者没有任何尺神经或正中神经受累的体征或症状,38名健康受试者。所有参与者均接受超声检查。在腕管近端入口测量正中神经和尺神经csa,以梨状骨为标志。结果:中、尺侧csa与对照组比较,差异均无统计学意义(p>0.05)。优势手的中位和尺侧csa与年龄、身高、体重和病程无相关性。24%的RA患者和14%的对照组正中神经CSA >10 mm2,但差异无统计学意义(p=0.20)。结论:在RA患者和健康对照者中检测到相似的中位和尺侧csa。这些发现不能排除亚临床神经系统受累。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Comparison of the median and ulnar nerves of rheumatoid arthritis patients and healthy subjects by ultrasound.

Comparison of the median and ulnar nerves of rheumatoid arthritis patients and healthy subjects by ultrasound.

Objectives: In this study, we aimed to investigate ulnar and median nerve cross-sectional areas (CSAs) by ultrasonography in RA patients who had no signs or symptoms of neurologic involvement.

Patients and methods: This case-control study was conducted with 76 participants (72 females, 4 males; mean age: 53.2+10.9 years; range, 18 to 65 years) between April 2011 and April 2013. Of the participants, 38 were RA patients without any signs or symptoms of ulnar or median nerve involvement, and 38 were healthy subjects. All participants were evaluated with ultrasound. The median and ulnar nerve CSAs were measured at the proximal inlet of the carpal tunnel using the pisiform bone as a landmark.

Results: There were no statistically significant differences between patients and controls in terms of median and ulnar CSAs (p>0.05). There were no correlations between median and ulnar CSAs of the dominant hand and age, height, weight, and disease duration. The median nerve CSA was >10 mm2 in 24% of the RA patients and 14% of controls, but the difference was not statistically significant (p=0.20).

Conclusion: Similar median and ulnar CSAs were detected in RA patients and healthy controls. These findings cannot rule out a subclinical neurologic involvement.

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来源期刊
Archives of rheumatology
Archives of rheumatology Medicine-Rheumatology
CiteScore
2.00
自引率
9.10%
发文量
15
期刊介绍: The Archives of Rheumatology is an official journal of the Turkish League Against Rheumatism (TLAR) and is published quarterly in March, June, September, and December. It publishes original work on all aspects of rheumatology and disorders of the musculoskeletal system. The priority of the Archives of Rheumatology is to publish high-quality original research articles, especially in inflammatory rheumatic disorders. In addition to research articles, brief reports, reviews, editorials, letters to the editor can also be published. It is an independent peer-reviewed international journal printed in English. Manuscripts are refereed by a "double-blind peer-reviewed" process for both referees and authors. Editorial Board of the Archives of Rheumatology works under the principles of The World Association of Medical Editors (WAME), the International Council of Medical Journal Editors (ICMJE), and Committee on Publication Ethics (COPE).
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