Paiva Filho Henver Ribeiro, Elias Bruno Adriano Borges, Salomão Junior Marlus Sérgio Borges, Paiva Valdênia Graças Nascimento, Oliveira Elias Felix, Rocha Murilo Antônio
Serviço de Cirurgia da Mão, Hospital de Clínicas, Universidade Federal do Triângulo Mineiro, Uberaba, MG, Brasil.
Rev Bras Ortop (Sao Paulo). 2021 Feb;56(1):69-73. doi: 10.1055/s-0040-1713390. Epub 2020 Oct 9.
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.
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。