超声检查在腕管综合征诊断中的应用

B50B30BBCTS0.39cm0.33cm4.563.12BBTheapplicationofultrasonographyinthediagnosisofcarpaltunnelsyndromeYUMiaoCHENDe-songCHENWei-minetal.DepartmentofHandSurgeryHuashanHospitalFudanUniversityShanghai200040ChinaAbstractObjectiveOuraimistoevaluatethediagnosticvalueofultrasonographyinpatientswithcarpaltunnelsyndromeCTS.Methods50patientswhohadclinicallyandelectrophysiologicallyconfirmedCTSunderwentultrasonographicexaminationofthewrist.30asymptomaticnormalwristsservedascontrol.Datafromthepatientandthecontrolgroupswerecomparedtodeterminethediagnosticparameters.ResultsThethicknessofpalmarretinaculuminCTSpatientswas0.39cmonaveragewhilethatofnormalcontrol0.33cm.Theflatteningratioofthemediannerveathamatehooklevelwas4.56versus3.12.Cross-sectionalareaofthemediannerveatradiocarpaljointlevelpisiformlevelhamatehooklevelanddistalhamatelevelwaslargerinCTSpatientsthaninnormalindividuals.Therewashighcorrelationbetweentheelectrophysiologicalresultsandultrasonographicfindings.ConclusionUltrasonographyexaminationisavaluableandpracticaltoolindefiningthecauseandseverityofCTS.Itissimplereliableandatraumatic.KeywordsUltrasonographyCarpaltunnelsyndromeDiagnosisElectrophysiology200040CTSCTS120039-2004115081B301.CTS508158457325～80494437313～2021021744202.306036275425～7649CTSGELogic-99-14MHz14MHzBB45º45º±-x±stBCTS0.39±13120056213ChinJHandSurgJune2005Vol21No.30.06cm0.33±0.07cmCTS1P0.011B-x±sCTS5030cm0.39±0.060.33±0.074.56±0.943.12±0.29cm20.13±0.020.09±0.02cm20.11±0.020.08±0.02cm20.15±0.030.09±0.02cm20.15±0.030.10±0.03BCTSBcm20.13±0.020.15±0.010.19±0.030.09±0.02CTSP0.01B81746014302216113≤3mm21CTSCTS3BCTS1CTS23CTS1B230.28cm0.81cm0.20cm2452≤3mm6161B23120056213ChinJHandSurgJune2005Vol21No.3B1.108.199511174-175.2..200420145-147.3..1.1999.106-110.4HuangJHZagerEL.Mini-opencarpaltunneldecompression.Neurosurgery200454397-399discussion399-400.5KleinRDKotsisSVChungKC.Opencarpaltunnelreleaseusinga1-centimeterincisiontechniqueandoutcomesfor104patients.PlastReconstrSurg20031111616-1622.6KeleHVerheggenRBittermannHJetal.Thepotentialvalueofultrasonographyintheevaluationofcarpaltunnelsyndrome.Neurology200361389-391.2005-01-1852100025VX200312Ⅲb■■■1/3■178mm1/93.9%VUⅢb2004-11-1033120056213ChinJHandSurgJune2005Vol21No.3