腕管综合征的超声指标显示腕管释放后的可逆性

Ryusuke Osada, Mineyuki Zukawa, Tomoatsu Kimura
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引用次数: 1

摘要

背景:本研究的目的是利用超声检查来确定腕管综合征(CTS)患者手指运动时正中神经的横截面积(CSA)和量化横向滑动运动。方法:比较15例双侧CTS(30手;男3人,女12人;平均年龄:65.7岁)和对照组(30手)年龄和性别匹配的健康个体。此外,12例患者13只手行切开腕管松解术(2男,10女;平均年龄:62.3岁)。结果:CTS组的平均CSA (16.9 mm2)大于对照组(10.0mm2),而横向滑动运动(6.6 mm)明显高于CTS组(4.9 mm)。12例接受手术治疗的CTS患者,术前CSA平均值为19.1mm2,术后显著下降至14.2 mm2,平均横向滑动运动从术前3.2 mm增加到术后5.0 mm。结论:超声检查观察到CSA与横向滑动运动相结合可提高CTS的诊断率。CTS患者手腕正中神经的CSA增加和横向滑动运动减少可通过开放腕管释放部分逆转。通讯对象:日本富山市杉谷富山大学医学部整形外科Ryusuke Osada电话:+ 81-76-434-7353;传真:+ 81-76-434-5035;电子邮件:osa97@med.u-toyama.ac.jp
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Ultasonographic indicators of carpal tunnel syndrome demonstrate reversibility following carpal tunnel release
Background: The objective of the present study was to use ultrasound examination to determine the cross-sectional area (CSA) of the median nerve and quantify transverse sliding motion during finger movements in patients with carpal tunnel syndrome (CTS). Method: CSA and transverse sliding motion were compared between 15 cases with bilateral CTS (30 hands; 3 men, 12 women; average age: 65.7 years) and a control group (30 hands) of ageand sex-matched healthy individuals. Furthermore, 13 hands of 12 patients who underwent open carpal tunnel release (2 men, 10 women; average age: 62.3 years) were assessed and compared before and after surgery. Results: The mean CSA was larger in the CTS group (16.9 mm2) than in the controls (10.0mm2), whereas transverse sliding motion was significantly higher in controls (6.6 mm) than in the CTS group (4.9 mm). The 12 patients with CTS who underwent surgery showed a mean preoperative CSA of 19.1mm2 that declined significantly to 14.2 mm2 postoperatively, and the mean transverse sliding motion increased from 3.2 mm preoperatively to 5.0 mm postoperatively. Conclusion: Combining CSA and transverse sliding motion as observed in ultrasound examination can improve CTS diagnosis. Increased CSA and decreased transverse sliding motion noted at the median nerve in the wrists of patients with CTS are partially reversible by open carpal tunnel release. Correspondence to: Ryusuke Osada, Department of Orthopaedic Surgery, Faculty of Medicine, University of Toyama, Sugitani, Toyama-City, Japan; Tel: +81-76-434-7353; Fax: +81-76-434-5035; E-mail: osa97@med.u-toyama.ac.jp
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