Ha Da Sol, Kim Hyoung Seop, Kim Jong Moon, Lee Kun Hee
Department of Physical Medicine and Rehabilitation, National Health Insurance Service Ilsan Hospital, Goyang, Korea.
Ann Rehabil Med. 2017 Aug;41(4):595-603. doi: 10.5535/arm.2017.41.4.595. Epub 2017 Aug 31.
To determine which ultrasonographic measurement can be used as an indicator reflecting the severity of carpal tunnel syndrome (CTS), by comparing electrodiagnostic results with ultrasonographic measurements in females. Many previous studies have tried to reveal that the ultrasonography (US) can possibility be used for diagnosis and severity of CTS. However, the criteria are different by gender. Thus far, there have been many efforts towards providing patients with a CTS diagnosis and severity prediction using US, but studies' results are still unclear due to lack of data on gender differences.
We collected data from 54 female patients. We classified the severity of CTS according to electrodiagnostic results. Ultrasonographic measurements included proximal and distal cross-sectional areas of the median nerve and carpal tunnel.
The severity by electrodiagnostic results statistically correlated to the proximal cross-sectional area (CSA) of the median nerve and carpal tunnel. However, there was no relationship between the proximal and distal nerve/tunnel indexes and the severity by electrodiagnostic results.
In female patients with CTS, the proximal CSAs of the median nerve and carpal tunnel increase. They correlate with the severity by electrodiagnostic findings. The CSA of the proximal median nerve could be particularly used as a predictor of the severity of CTS in female patients. However, the nerve/tunnel index is constant, irrespective of the severity of CTS.
通过比较女性患者的电诊断结果与超声测量结果，确定哪种超声测量可作为反映腕管综合征（CTS）严重程度的指标。此前许多研究试图揭示超声检查（US）有可能用于CTS的诊断和评估严重程度。然而，其标准因性别而异。迄今为止，已有许多利用超声为CTS患者提供诊断和严重程度预测的尝试，但由于缺乏性别差异数据，研究结果仍不明确。
我们收集了54例女性患者的数据。我们根据电诊断结果对CTS的严重程度进行分类。超声测量包括正中神经和腕管的近端和远端横截面积。
电诊断结果显示的严重程度与正中神经和腕管的近端横截面积（CSA）在统计学上相关。然而，近端和远端神经/腕管指数与电诊断结果显示的严重程度之间没有关系。
在患有CTS的女性患者中，正中神经和腕管的近端CSA增加。它们与电诊断结果显示的严重程度相关。正中神经近端的CSA尤其可作为女性CTS患者严重程度的预测指标。然而，神经/腕管指数是恒定的，与CTS的严重程度无关。
