Corwin H M, Kasdan M L
J Hand Surg Am. 1998 Jan;23(1):55-7. doi: 10.1016/S0363-5023(98)80089-0.
The diagnosis of carpal tunnel syndrome (CTS) is confirmed by electrodiagnostic testing. Practice parameters for electrodiagnostic testing of CTS have been defined in a summary statement published by the American Academy of Neurology, the American Association of Electrodiagnostic Medicine, and the American Academy of Physical Medicine and Rehabilitation. All members of the Industrial Injuries and Prevention Committee of the American Society for Surgery of the Hand provided electrodiagnostic reports from their office practices indicating an electrodiagnosis of CTS or median neuropathy at the wrist. One hundred consecutive reports were analyzed to determine how often these electrodiagnostic studies adhered to the standards and guidelines of the summary statement. Variability in the thoroughness of the studies, hence in the quality of information in the reports, was noted. The clinical implications of this survey are that some patients were diagnosed and treated for CTS who did not have median neuropathy at the wrist.
腕管综合征（CTS）的诊断通过电诊断测试得以证实。美国神经病学学会、美国电诊断医学协会以及美国物理医学与康复学会发表的一份总结声明中已明确了CTS电诊断测试的实践参数。美国手外科协会工业损伤与预防委员会的所有成员提供了其门诊实践中的电诊断报告，这些报告显示为CTS或腕部正中神经病变的电诊断结果。对连续100份报告进行分析，以确定这些电诊断研究符合总结声明标准和指南的频率。研究发现，这些研究的详尽程度存在差异，因此报告中的信息质量也有所不同。这项调查的临床意义在于，一些被诊断为CTS并接受治疗的患者实际上并没有腕部正中神经病变。
