Palumbo Carl F, Szabo Robert M
Indiana Hand Center, 8501 Harcourt Road, Indianapolis, IN 46280, USA.
Hand Clin. 2002 May;18(2):269-77, vi. doi: 10.1016/s0749-0712(01)00007-5.
The value of a test for carpal tunnel syndrome (CTS) depends on the purpose of performing the test. When screening a large population with a low prevalence for CTS, a test with a high sensitivity is needed so that no possible case goes undetected. However, in order to establish a diagnosis, a more specific test is required. Using a combination of physical examination techniques, including sensibility and provocative testing, the probability of correctly diagnosing CTS without relying on electrodiagnostic studies can be very high. Because CTS is a clinical syndrome, the diagnosis should be made on clinical grounds. Electrodiagnosis is extremely important, however, in its ability to objectively document median nerve slowing and eliminate other competing differential diagnoses.
腕管综合征（CTS）检测的价值取决于进行该检测的目的。在对CTS患病率较低的大量人群进行筛查时，需要一种高灵敏度的检测方法，以便不遗漏任何可能的病例。然而，为了确诊，则需要一种更具特异性的检测方法。通过综合运用包括感觉和激发试验在内的体格检查技术，不依赖电诊断研究而正确诊断CTS的概率可能会非常高。由于CTS是一种临床综合征，诊断应基于临床依据。然而，电诊断在客观记录正中神经传导减慢并排除其他竞争性鉴别诊断方面的能力极为重要。
