摘要: |
目的 探讨高频超声对关节镜下腕管松解术后神经解剖学参数的动态评估价值。方法 随访31例(44腕)腕管综合症患者术前3天,术后2周、4周、3月、6月、1年正中神经卡压近端水肿范围、腕管入口正中神经直径及横截面积,并根据横截面积绘制高频超声诊断腕管综合征ROC曲线。结果 术后各神经解剖学参数逐步改善,术后1个月至3个月各解剖学参数改善最明显。高频超声对CTS具有较高的诊断效能。结论 高频超声能够对关节镜下腕管松解术后神经解剖学参数进行有效地的动态评估。 |
关键词: 腕管综合症 腕管松解术 正中神经 高频超声 关节镜 |
DOI: |
投稿时间:2016-07-26修订日期:2016-07-26 |
基金项目:国家自然科学基金资助项目(81301562);陕西省科学技术研究发展计划项目(社会发展科技攻关2016SF-057) |
|
Dynamic evaluation of ultrasonography for carpal tunnel syndrome after transverse carpal ligament release with arthroscopy |
Li Miao,Zhou Qi |
() |
Abstract: |
Objective To assess the dynamic evaluation of high frequency ultrasound for carpal tunnel syndrome after transverse carpal ligament release with arthroscopy. Methods The study included 31 patients (44 wrists) with a definitive diagnosis of CTS. The edema range of median nerve at entrapment proximal, diameter and cross-sectional area of median nerve at the inlet of the carpal tunnel were detected by high frequency ultrasound at 3 days preoperative, 2 weeks, 4 weeks, 3 months, 6 months, 1 year postoperative separately. ROC analysis of high frequency ultrasound was performed. Results The neuroanatomical parameters were gradually improved postoperative. All the neuroanatomical parameters were improved significantly during 1 month to 3 months after surgery. High frequency ultrasound has high diagnostic efficacy for CTS. Conclusion High frequency ultrasound has effective dynamic value in neuroanatomical parameters for carpal tunnel syndrome after transverse carpal ligament release with arthroscopy. |
Key words: Carpal tunnel syndrome Carpal tunnel release Median nerve High frequency ultrasound Arthroscopy |