基于近红外光谱的氧神经描记术在腕管综合征诊断中的价值，与激发性临床诊断测试和神经传导研究相比。

Value of oxyneurography, based on near infrared spectroscopy, in the diagnosis of carpal tunnel syndrome in comparison to provocative clinical diagnostic tests and nerve conduction studies.

机构信息

Department of Neurosurgery and Oncology of Central Nervous System, Barlicki University Hospital, Medical University of Lodz, Kopcinskiego 22, Lodz, Poland.

Department of Geriatrics, Medical University of Lodz, Pieniny 30, Lodz, Poland.

出版信息

Clin Neurophysiol. 2018 Jan;129(1):327-332. doi: 10.1016/j.clinph.2017.10.034. Epub 2017 Nov 11.

DOI:10.1016/j.clinph.2017.10.034

PMID:29183658

Abstract

OBJECTIVE

Evaluation of the diagnostic utility of the oxyneurography (ONG) in diagnosing carpal tunnel syndrome (CTS).

METHODS

ONG examination of the median nerve was performed in 260 patients. The results were compared with nerve conduction studies and clinical provocative tests.

RESULTS

ONG index greater than or equal to 62% was found in 95.18% of the patients with no or minimal Nerve Conduction Study (NCS) changes (1-2 according to the Padua classification) but only in 1.69% of the patients with advanced NCS changes (Padua 3-6). The sensitivity and specificity of the ONG study i.e. 95.18% and 98.31%, respectively, were compared with standard clinical tests: Tinel sign (61.45% and 14.69%), Phalen test (34.94% and 45.20%), reverse Phalen test (81.93% and 34.46%) and carpal compression test (91.57% and 72.32%).

CONCLUSIONS

ONG index lower than 62% was indicative of CTS. ONG has higher sensitivity and specificity then other clinical tests and it is an accurate and reliable method for the diagnosis of CTS.

SIGNIFICANCE

Oxyneurography is a non-invasive, fast and safe study which may play role in the diagnosis of carpal tunnel syndrome.

摘要

目的

评估氧神经图（ONG）在诊断腕管综合征（CTS）中的诊断效用。

方法

对 260 例患者进行正中神经 ONG 检查。将结果与神经传导研究和临床激发试验进行比较。

结果

ONG 指数大于或等于 62%见于 95.18%无或仅有轻微神经传导研究（NCS）改变（根据帕多瓦分类为 1-2）的患者，但仅见于 1.69% NCS 改变晚期（帕多瓦 3-6）的患者。ONG 研究的敏感性和特异性分别为 95.18%和 98.31%，与标准临床测试进行比较：Tinel 征（61.45%和 14.69%）、Phalen 试验（34.94%和 45.20%）、反向 Phalen 试验（81.93%和 34.46%）和腕管压迫试验（91.57%和 72.32%）。