Schmitt R, Lucas D, Buhmann S, Lanz U, Schindler G
Abt. für Röntgendiagnostik, Chirurgische Universitätsklinik Würzburg.
Rofo. 1988 Sep;149(3):280-5. doi: 10.1055/s-2008-1048342.
Morphometric measurements of the carpal bones were carried out in 32 patients with carpal tunnel syndrome (CTS) and in 47 normal persons, using high resolution CT. Measurements of distances and areas were carried out at the entry of each carpal tunnel and at its narrowest point. In idiopathic CTS there were no significant differences in these measurements from normal carpal measurements. The situation was different in ten patients with nonidiopathic CTS; in these CT showed the cause of median compression reliably. Our results suggest that there are no indications for performing CT of the wrist in idiopathic CTS, but that valuable information may be expected from CT in cases of nonidiopathic CTS.
采用高分辨率CT对32例腕管综合征(CTS)患者和47名正常人的腕骨进行形态测量。在每个腕管入口及其最窄点测量距离和面积。在特发性CTS中,这些测量值与正常腕骨测量值无显著差异。10例非特发性CTS患者的情况则不同;在这些病例中,CT能可靠地显示正中神经受压的原因。我们的结果表明,特发性CTS患者没有进行腕部CT检查的指征,但非特发性CTS病例可能从CT中获得有价值的信息。