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医学超声评估腕管综合征:一项批判性综述。

Medical Ultrasound in the Evaluation of the Carpal Tunnel: A Critical Review.

作者信息

Georgiev Georgi P, Karabinov Vesselin, Kotov Georgi, Iliev Alexandar

机构信息

Orthopaedics and Traumatology, Queen Giovanna Hospital, Sofia, BGR.

Neurology, National Cardiology Hospital, Sofia, BGR.

出版信息

Cureus. 2018 Oct 23;10(10):e3487. doi: 10.7759/cureus.3487.

DOI:10.7759/cureus.3487
PMID:30613449
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6314799/
Abstract

The use of medical ultrasound as an imaging modality in the evaluation of the carpal tunnel syndrome has been growing. Technical progress and the introduction of new, high-quality devices and ultra-high frequency transducers with smaller dimensions have led to a better quality of acquired images and the development of new examination methodologies. The sonographic method has a number of advantages: available, non-invasive, cheaper, and allows an easier and faster evaluation and diagnosis of carpal tunnel syndrome, along with the possibility to assess various parameters of the median nerve, including its size, blood flow, and mobility. In addition, medical ultrasound may be used to detect anatomical variations and space-occupying lesions in the carpal tunnel to monitor the therapeutic response in patients suffering from carpal tunnel syndrome and to evaluate median nerve injuries. Herein, we present a review of the pertinent literature with regard to the diagnostic potential of medical ultrasound in the evaluation of pathological changes in the carpal tunnel.

摘要

在腕管综合征评估中,将医学超声作为一种成像方式的应用一直在增加。技术进步以及新型、高质量设备和尺寸更小的超高频换能器的引入,带来了更高质量的采集图像,并推动了新检查方法的发展。超声检查方法具有诸多优势:可获取、非侵入性、成本较低,并且能够更轻松、快速地评估和诊断腕管综合征,还能够评估正中神经的各种参数,包括其大小、血流和活动度。此外,医学超声可用于检测腕管内的解剖变异和占位性病变,以监测腕管综合征患者的治疗反应,并评估正中神经损伤。在此,我们针对医学超声在评估腕管病理变化方面的诊断潜力,对相关文献进行综述。

相似文献

1
Medical Ultrasound in the Evaluation of the Carpal Tunnel: A Critical Review.医学超声评估腕管综合征:一项批判性综述。
Cureus. 2018 Oct 23;10(10):e3487. doi: 10.7759/cureus.3487.
2
Recent Advances in Ultrasound Diagnosis of Carpal Tunnel Syndrome.腕管综合征超声诊断的最新进展
Diagnostics (Basel). 2020 Aug 15;10(8):596. doi: 10.3390/diagnostics10080596.
3
Carpal tunnel syndrome: diagnosis with high-resolution sonography.腕管综合征:高分辨率超声诊断
AJR Am J Roentgenol. 1992 Oct;159(4):793-8. doi: 10.2214/ajr.159.4.1529845.
4
Sonographic Findings Associated With Carpal Tunnel Syndrome.与腕管综合征相关的超声检查结果。
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[Not Available].[无可用内容]
Praxis (Bern 1994). 2018;107(6):309-314. doi: 10.1024/1661-8157/a003169.
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Carpal tunnel syndrome. MR imaging diagnosis.腕管综合征。磁共振成像诊断。
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Median nerve compression can be detected by magnetic resonance imaging of the carpal tunnel.腕管综合征可通过腕管的磁共振成像检测出来。
Neurosurgery. 1997 Jul;41(1):76-82; discussion 82-3. doi: 10.1097/00006123-199707000-00016.
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Radiologic imaging of the carpal tunnel.腕管的放射影像学检查
Eur J Radiol. 1997 Sep;25(2):112-7. doi: 10.1016/s0720-048x(97)00038-7.
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Doppler sonography for the diagnosis of carpal tunnel syndrome: a critical review.超声多普勒检查在腕管综合征诊断中的应用:一项关键性综述。
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The carpal tunnel: ultrasound display of normal imaging anatomy and pathology.腕管:正常影像解剖与病理的超声显示
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引用本文的文献

1
Variations of the Median Nerve and Carpal Tunnel Syndrome: a Systematic Review of the Literature.正中神经变异与腕管综合征:文献系统综述
Maedica (Bucur). 2023 Dec;18(4):699-704. doi: 10.26574/maedica.2023.18.4.699.
2
Measuring tactile sensitivity and mixed-reality-assisted exercise for carpal tunnel syndrome by ultrasound mid-air haptics.通过超声空中触觉测量腕管综合征的触觉敏感性和混合现实辅助运动。
Front Neurosci. 2024 Jan 18;18:1319965. doi: 10.3389/fnins.2024.1319965. eCollection 2024.
3
A preliminary animal study on the prediction of nerve block success using ultrasonographic parameters.使用超声参数预测神经阻滞成功的初步动物研究。
Sci Rep. 2022 Feb 24;12(1):3119. doi: 10.1038/s41598-022-06986-y.
4
Combination of high-frequency ultrasound and virtual touch tissue imaging and quantification improve the diagnostic efficiency for mild carpal tunnel syndrome.高频超声联合虚拟触诊组织定量成像技术提高轻度腕管综合征的诊断效能。
BMC Musculoskelet Disord. 2021 Jan 26;22(1):112. doi: 10.1186/s12891-021-03982-7.
5
Application of High-Resolution Ultrasound on Diagnosing Diabetic Peripheral Neuropathy.高分辨率超声在诊断糖尿病周围神经病变中的应用
Diabetes Metab Syndr Obes. 2021 Jan 14;14:139-152. doi: 10.2147/DMSO.S292991. eCollection 2021.
6
Physical Therapy and Rehabilitation Approaches in Patients with Carpal Tunnel Syndrome.腕管综合征患者的物理治疗与康复方法
Cureus. 2020 Mar 3;12(3):e7171. doi: 10.7759/cureus.7171.

本文引用的文献

1
Median nerve ultrasonography in carpal tunnel syndrome.腕管综合征的正中神经超声检查
Clin Neurophysiol Pract. 2017 Sep 18;2:186-187. doi: 10.1016/j.cnp.2017.09.001. eCollection 2017.
2
Ultrasound as a diagnostic tool in the investigation of patients with carpal tunnel syndrome.超声作为诊断工具在腕管综合征患者检查中的应用
Eur J Transl Myol. 2018 Apr 24;28(2):7380. doi: 10.4081/ejtm.2018.7406.
3
Sonographic assessment of carpal tunnel syndrome in diabetic patients with and without polyneuropathy.超声评估合并或不合并多发性神经病的糖尿病患者的腕管综合征
Medicine (Baltimore). 2018 Jun;97(24):e11104. doi: 10.1097/MD.0000000000011104.
4
Predictive Variables for Sonographically Guided Corticosteroid Injection in Mild-to-Moderate Carpal Tunnel Syndrome.轻至中度腕管综合征超声引导下皮质类固醇注射的预测变量
Ann Rehabil Med. 2018 Apr;42(2):213-221. doi: 10.5535/arm.2018.42.2.213. Epub 2018 Apr 30.
5
Ultrasonography Predictive Factors of Response to Local Steroid Injection in Patients with Carpal Tunnel Syndrome.超声检查对腕管综合征患者局部注射类固醇反应的预测因素
Adv Biomed Res. 2018 Feb 16;7:22. doi: 10.4103/2277-9175.225591. eCollection 2018.
6
Carpal tunnel syndrome assessment with ultrasonography: value of inlet-to-outlet median nerve area ratio in patients versus healthy volunteers.超声评估腕管综合征:患者与健康志愿者正中神经入口至出口面积比的价值
PLoS One. 2015 Jan 24;10(1):e0116777. doi: 10.1371/journal.pone.0116777. eCollection 2015.
7
Carpal tunnel syndrome severity staging using sonographic and clinical measures.使用超声和临床测量对腕管综合征进行严重程度分期
Muscle Nerve. 2015 Jun;51(6):838-45. doi: 10.1002/mus.24478. Epub 2015 Apr 24.
8
The role of ultrasound in the diagnosis and management of carpal tunnel syndrome: a new paradigm.超声在腕管综合征诊断和治疗中的作用:一种新的模式。
Rheumatology (Oxford). 2015 Jan;54(1):9-19. doi: 10.1093/rheumatology/keu275. Epub 2014 Aug 12.
9
Diagnostic criteria of carpal tunnel syndrome using high-resolution ultrasonography: correlation with nerve conduction studies.使用高分辨率超声检查诊断腕管综合征的标准:与神经传导研究的相关性
Skeletal Radiol. 2014 Oct;43(10):1387-94. doi: 10.1007/s00256-014-1929-z. Epub 2014 Jun 12.
10
Muscle intrusion as a potential cause of carpal tunnel syndrome.肌肉侵入作为腕管综合征的一个潜在病因。
Muscle Nerve. 2014 Oct;50(4):517-22. doi: 10.1002/mus.24183. Epub 2014 Jun 16.