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在腕管综合征的诊断中,肌电图与超声检查之间是否存在关联?

Is there an association between electroneuromyography and ultrasound in the diagnosis of carpal tunnel syndrome?

作者信息

Paiva Filho Henver Ribeiro, Elias Bruno Adriano Borges, Salomão Junior Marlus Sérgio Borges, Paiva Valdênia Graças Nascimento, Oliveira Elias Felix, Rocha Murilo Antônio

机构信息

Serviço de Cirurgia da Mão, Hospital de Clínicas, Universidade Federal do Triângulo Mineiro, Uberaba, MG, Brasil.

出版信息

Rev Bras Ortop (Sao Paulo). 2021 Feb;56(1):69-73. doi: 10.1055/s-0040-1713390. Epub 2020 Oct 9.

DOI:10.1055/s-0040-1713390
PMID:33627902
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7895613/
Abstract

To verify whether there is an association between the results of the severity in electroneuromyography and the positivity in ultrasound in the diagnosis of carpal tunnel syndrome.  Sixty-eight patients were included in the study, 61 women and 7 men, with a mean age of 54.4 years. The ultrasound results (positive or negative) were crossed with the results of electroneuromyography (mild, moderate or severe), and the existence of association was verified.  One hundred and thirty-six hands with suspicion or symptoms of carpal tunnel syndrome were evaluated. Positive ultrasound diagnosis was observed in 72 hands and negative in 64; 123 hands presented positive electroneuromyography for carpal tunnel syndrome, and there were 13 negative results. The severe degree in electroneuromyography was prevalent.  There was a statistically significant association between electroneuromyography and ultrasonography (  < 0.05), and ultrasound positivity was higher for more severe levels of carpal tunnel syndrome given by electroneuromyography.

摘要

验证在腕管综合征诊断中,肌电图严重程度结果与超声检查阳性之间是否存在关联。

本研究纳入了68例患者,其中61例女性,7例男性,平均年龄54.4岁。将超声检查结果(阳性或阴性)与肌电图结果(轻度、中度或重度)进行交叉分析,以验证是否存在关联。

对136只怀疑或有腕管综合征症状的手进行了评估。超声诊断阳性的有72只手,阴性的有64只手;123只手的肌电图显示腕管综合征阳性,13只手为阴性。肌电图显示重度的情况较为普遍。

肌电图与超声检查之间存在统计学显著关联(<0.05),对于肌电图所示更严重程度的腕管综合征,超声检查阳性率更高。

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Muscle Nerve. 2019 Nov;60(5):501-512. doi: 10.1002/mus.26624. Epub 2019 Jul 16.
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Sex-related differences in carpal arch morphology.腕掌弓形态的性别差异。
PLoS One. 2019 May 22;14(5):e0217425. doi: 10.1371/journal.pone.0217425. eCollection 2019.
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A Prospective Comparison of Diagnostic Tools for the Diagnosis of Carpal Tunnel Syndrome.用于诊断腕管综合征的诊断工具的前瞻性比较。
J Hand Surg Am. 2018 Sep;43(9):833-836.e2. doi: 10.1016/j.jhsa.2018.05.022. Epub 2018 Jun 21.
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Utilization of Preoperative Electrodiagnostic Studies for Carpal Tunnel Syndrome: An Analysis of National Practice Patterns.术前电诊断研究在腕管综合征中的应用:全国实践模式分析。
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Ultrasound of Focal Neuropathies.局灶性神经病的超声检查
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