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超声成像：提高腕管综合征的诊断水平。

Ultrasound imaging: Enhancing the diagnosis of carpal tunnel syndrome.

作者信息

Lander Depraetere, Lowyck Hans, Decramer Arne, Vanmierlo Bert

机构信息

Department of Development and Regeneration, KU Leuven, Leuven University Belgium, Belgium.

Department of Orthopaedic and Trauma Surgery, AZ Delta, Roeselare, Belgium.

出版信息

J Hand Microsurg. 2024 Nov 13;17(1):100173. doi: 10.1016/j.jham.2024.100173. eCollection 2025 Jan.

DOI:10.1016/j.jham.2024.100173
PMID:39876943
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11770212/
Abstract

Broader adoption of ultrasound (US) imaging in carpal tunnel syndrome management enhances patient care and outcome. This case underscores the importance in diagnosing carpal tunnel syndrome, highlighting its capability to uncover hidden anomalies and assist in surgical planning.

摘要

在腕管综合征的治疗中更广泛地采用超声（US）成像可提高患者护理质量和治疗效果。本病例强调了诊断腕管综合征的重要性，突出了其发现隐匿异常情况及辅助手术规划的能力。

相似文献

1
Ultrasound imaging: Enhancing the diagnosis of carpal tunnel syndrome.超声成像：提高腕管综合征的诊断水平。
J Hand Microsurg. 2024 Nov 13;17(1):100173. doi: 10.1016/j.jham.2024.100173. eCollection 2025 Jan.
2
A "Clear" Carpal Tunnel Syndrome Diagnosis on Ultrasound Examination Does Not Predict Improved Outcomes When Compared With a "Borderline" Diagnosis.超声检查诊断为“明确”腕管综合征与“临界”诊断相比并不能预测改善结局。
Hand (N Y). 2024 Sep;19(6):912-916. doi: 10.1177/15589447231154026. Epub 2023 Mar 1.
3
Ultrasonographic Assessment of Median Nerve and Carpal Tunnel Variations: Implications for the Interventional Management of Carpal Tunnel Syndrome.正中神经及腕管变异的超声评估：对腕管综合征介入治疗的意义
J Ultrasound Med. 2025 Oct;44(10):1819-1837. doi: 10.1002/jum.16733. Epub 2025 Jun 18.
4
Non-surgical treatment (other than steroid injection) for carpal tunnel syndrome.腕管综合征的非手术治疗（类固醇注射除外）
Cochrane Database Syst Rev. 2003;2003(1):CD003219. doi: 10.1002/14651858.CD003219.
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Local corticosteroid injection versus placebo for carpal tunnel syndrome.局部皮质类固醇注射与安慰剂治疗腕管综合征的比较。
Cochrane Database Syst Rev. 2023 Feb 1;2(2):CD015148. doi: 10.1002/14651858.CD015148.
6
[The Effectiveness of Different Corticosteroid Injections in Patients With Carpal Tunnel Syndrome: A Bayesian Network Meta-Analysis].[不同皮质类固醇注射治疗腕管综合征患者的有效性：贝叶斯网络Meta分析]
Hu Li Za Zhi. 2016 Jun;63(3):73-82. doi: 10.6224/JN.63.3.73.
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A comparison of handheld versus cart-based ultrasound in the evaluation and diagnosis of carpal tunnel syndrome.手持超声与推车式超声在腕管综合征评估与诊断中的比较。
J Hand Microsurg. 2024 Sep 16;16(5):100159. doi: 10.1016/j.jham.2024.100159. eCollection 2024 Dec.
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QuickDASH: Reliability in the assessment of carpal tunnel syndrome.快速DASH：腕管综合征评估中的可靠性
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Local corticosteroid injection for carpal tunnel syndrome.局部注射皮质类固醇治疗腕管综合征。
Cochrane Database Syst Rev. 2002(4):CD001554. doi: 10.1002/14651858.CD001554.
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Surgical versus non-surgical treatment for carpal tunnel syndrome.腕管综合征的手术治疗与非手术治疗
Cochrane Database Syst Rev. 2002(2):CD001552. doi: 10.1002/14651858.CD001552.

本文引用的文献

1
From teaching to practice: Evaluating the impact of an upper-limb ultrasound surgery diploma on surgical practice.从教学到实践：评估上肢超声手术文凭对手术实践的影响。
Hand Surg Rehabil. 2024 Apr;43(2):101647. doi: 10.1016/j.hansur.2024.101647. Epub 2024 Jan 29.
2
A Comparative Analysis Between Ultrasound and Electromyographic and Nerve Conduction Studies in Diagnosing Carpal Tunnel Syndrome (CTS): A Systematic Review and Meta-Analysis.超声与肌电图及神经传导研究在诊断腕管综合征（CTS）中的比较分析：一项系统评价与荟萃分析
Cureus. 2022 Oct 19;14(10):e30476. doi: 10.7759/cureus.30476. eCollection 2022 Oct.
3
A Prospective Evaluation of the Prevalence of Persistent Median Artery in Patients with Carpal Tunnel Syndrome.腕管综合征患者持续性正中动脉患病率的前瞻性评估。
Arch Bone Jt Surg. 2022 Sep;10(9):756-759. doi: 10.22038/ABJS.2022.62358.3042.
4
Ultrasonography for the diagnosis of carpal tunnel syndrome: an umbrella review.超声诊断腕管综合征：伞式综述。
J Neurol. 2022 Sep;269(9):4663-4675. doi: 10.1007/s00415-022-11201-z. Epub 2022 May 31.
5
Bifid median nerve as an anatomical risk factor for carpal tunnel syndrome: A meta-analysis.双歧正中神经作为腕管综合征的解剖学危险因素：一项荟萃分析。
Clin Anat. 2022 Oct;35(7):946-952. doi: 10.1002/ca.23900. Epub 2022 May 9.
6
Carpal Tunnel Syndrome: An Update for the Primary Care Physician.腕管综合征：基层医疗医生的最新资讯
Hawaii J Health Soc Welf. 2019 Nov;78(11 Suppl 2):6-10.
7
Electrodiagnostic evaluation of carpal tunnel syndrome and ulnar neuropathies.腕管综合征和尺神经病变的电诊断评估。
PM R. 2013 May;5(5 Suppl):S14-21. doi: 10.1016/j.pmrj.2013.03.027. Epub 2013 Mar 28.
8
Evidence-based guideline: neuromuscular ultrasound for the diagnosis of carpal tunnel syndrome.基于证据的指南：用于诊断腕管综合征的神经肌肉超声。
Muscle Nerve. 2012 Aug;46(2):287-93. doi: 10.1002/mus.23389.
9
Evaluation of bifid median nerve with sonography and MR imaging.超声和磁共振成像对正中神经双叉的评估。
J Ultrasound Med. 2000 Jul;19(7):481-5. doi: 10.7863/jum.2000.19.7.481.