Köroğlu Özlem, Kesikburun Serdar, Adıgüzel Emre, Taşkaynatan Mehmet Ali, Özgül Ahmet
Department of Physical Medicine and Rehabilitation, Gülhane Medical Faculty, Ankara, Turkey.
Department of Physical Medicine and Rehabilitation, Gaziler Physical Therapy and Rehabilitation Training and Research Hospital, Ankara, Turkey.
Turk J Phys Med Rehabil. 2019 Apr 30;65(2):177-183. doi: 10.5606/tftrd.2019.2421. eCollection 2019 Jun.
This study aims to identify the most accurate method or ultrasonographic measurement for the diagnosis of carpal tunnel syndrome (CTS).
Between October 2010 and April 2011, a total of 160 hands of 87 patients (4 males, 83 females; mean age 54.5 years; range, 26 to 84 years) with clinically and electrodiagnostically proven CTS and 80 hands of 40 controls (3 males, 37 females; mean age 53.7 years; range, 32 to 77 years) were evaluated by sonographic examination. The diameters and cross-sectional areas (CSA) of the median nerve and longitudinal diameters of the median nerve were measured at the inlet, proximal carpal tunnel, and outlet of the carpal tunnel. Volar bulging and thickness of the retinaculum were also measured.
The most optimal combination for the diagnosis of CTS was proximal CSA, volar bulging, and the proximal transverse diameter. The combination of proximal CSA with volar bulging increased the sensitivity and specificity of sonographic measurements.
Based on our study results, ultrasonography can be used as a practical modality to distinguish CTS patients from asymptomatic controls.
本研究旨在确定诊断腕管综合征（CTS）最准确的方法或超声测量指标。
2010年10月至2011年4月期间，对87例经临床和电诊断证实为CTS的患者（4例男性，83例女性；平均年龄54.5岁；范围26至84岁）的160只手以及40例对照者（3例男性，37例女性；平均年龄53.7岁；范围32至77岁）的80只手进行了超声检查。在腕管入口、近端腕管和出口处测量正中神经的直径、横截面积（CSA）以及正中神经的纵径。还测量了屈肌支持带的掌侧膨出和厚度。
诊断CTS的最佳组合是近端CSA、掌侧膨出和近端横径。近端CSA与掌侧膨出相结合提高了超声测量的敏感性和特异性。
基于我们的研究结果，超声检查可作为一种实用的方法来区分CTS患者和无症状对照者。
