红细胞分布宽度（RDW）是否是需要手术治疗的尺神经沟综合征患者的一个预测参数？
IS RDW A PREDICTIVE PARAMETER FOR CUBITAL TUNNEL SYNDROME PATIENTS REQUIRING SURGERY?
作者信息
Sarman Hakan, Isik Cengiz, Boz Mehmet, Boyraz Ismail, Koc Bunyamin, Turkoglu Sule Aydin
机构信息
. Abant Izzet Baysal University, School of Medicine, Department of Orthopaedics and Traumatology, Bolu, Turkey.
. Abant Izzet Baysal University, School of Medicine, Department of Physical Medicine and Rehabilitation, Bolu, Turkey.
出版信息
Acta Ortop Bras. 2016 Jul-Aug;24(4):187-190. doi: 10.1590/1413-785220162404156646.
OBJECTIVE
The aim of this study was to investigate whether haemogram parameters are predictive factors for both the severity of the disease and a decision in favor of surgical treatment in patients with an established diagnosis of cubital tunnel syndrome (CuTS)
METHODS
The medical files of patients with a diagnosis of CuTS who were followed-up conservatively (n=92) or surgically treated (n=92) were retrospectively screened and the haemogram parameters were recorded
RESULTS
The receiver operating characteristic (ROC) curve analysis revealed an area of 0.665 under the curve, with 76.3% sensitivity and 84.8% specificity at the cut-off of a red cell distribution width (RDW) level grater than 15.45%. RDW levels higher than 15.5%, electromyography (EMG) severity, and a clinical score higher than three were found to be independently associated with surgery
CONCLUSION
An elevated RDW value was related to the severity of the electromyogram. RDW may, therefore, be a useful independent predictor for the decision to surgical treatment of CuTS.
目的
本研究旨在调查血常规参数是否为已确诊肘管综合征（CuTS）患者疾病严重程度及支持手术治疗决策的预测因素。
方法
对保守治疗（n = 92）或手术治疗（n = 92）的CuTS诊断患者的病历进行回顾性筛查，并记录血常规参数。
结果
受试者工作特征（ROC）曲线分析显示曲线下面积为0.665，红细胞分布宽度（RDW）水平大于15.45%时，灵敏度为76.3%，特异性为84.8%。发现RDW水平高于15.5%、肌电图（EMG）严重程度及临床评分高于3分与手术独立相关。
结论
RDW值升高与肌电图严重程度相关。因此，RDW可能是CuTS手术治疗决策的有用独立预测指标。
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