Georgiev Georgi P, Karabinov Vesselin, Kotov Georgi, Iliev Alexandar
Orthopaedics and Traumatology, Queen Giovanna Hospital, Sofia, BGR.
Neurology, National Cardiology Hospital, Sofia, BGR.
Cureus. 2018 Oct 23;10(10):e3487. doi: 10.7759/cureus.3487.
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.
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。