本文選題：腕管綜合征 + 正中神經(jīng)��； 參考：《東南大學(xué)學(xué)報(bào)(醫(yī)學(xué)版)》2017年06期

【摘要】：目的:應(yīng)用ROC曲線法,探討超聲測(cè)量計(jì)算腕管綜合征(CTS)患者腕管水平和旋前方肌近端1/3處的正中神經(jīng)橫斷面積與神經(jīng)肌電圖檢測(cè)嚴(yán)重程度結(jié)果的相關(guān)性。方法:84例患者140個(gè)手腕經(jīng)肌電圖診斷為CTS。在腕管水平(CSAC)和旋前方肌近端1/3處(CSAP)進(jìn)行正中神經(jīng)橫斷面積的測(cè)量。計(jì)算CSAC和CSAP橫斷面積的差值(△CSA)以及CSAC和CSAP橫斷面積的比值(R-CSA)。結(jié)果:CTS患者經(jīng)NCS診斷分級(jí)為輕度、中度、重度三組,三組平均△CSA分別為(4.6±2.5)mm~2、(7.2±2.2)mm~2、(10.9±4.7)mm~2;平均R-CSA分別為(1.5±0.3)、(1.9±0.4)、(2.5±0.8),各組間均有顯著差異(P0.01)�！鰿SA和R-CSA區(qū)分輕度和中度CTS的最佳臨界值分別為6 mm~2和1.7 mm~2,特異性分別為82.6%和78.3%,敏感性分別為80.0%和76.3%,準(zhǔn)確性分別為80.6%和76.7%。區(qū)分中度和重度CTS的最佳臨界值分別為9 mm~2和2.2 mm~2,特異性分別為87.5%和83.8%,敏感性分別為62.2%和51.4%,準(zhǔn)確性分別為79.5%和73.5%。結(jié)論:ROC曲線分析表明,△CSA和R-CSA有助于反映CTS患者的嚴(yán)重程度。
[Abstract]:Objective: to investigate the correlation between the level of carpal tunnel and the transverse area of median nerve at 1 / 3 of proximal end of anterior circumflex muscle and the severity of electromyography (EMG) in patients with carpal tunnel syndrome (CTSs) by using ROC curve method. Methods 140 wrists of 84 cases were diagnosed as CTS by electromyography. The transverse area of the median nerve was measured at the level of the carpal tunnel (CSAC) and the proximal end of the anterior circumflex muscle (1 / 3). The difference between CSAC and CSAP and the ratio of CSAC to CSAP were calculated. Results according to NCS, the patients were classified as mild, moderate and severe. The average CSA of the three groups was 4.6 鹵2.5 鹵2.5 鹵2.2mm, respectively, and the average R-CSA of the three groups was 10.9 鹵4.7 鹵4.7mm2, respectively, and the average R-CSA of the three groups was 1.5 鹵0.3 鹵0.40, respectively. There were significant differences between the three groups (P 0.01). The best critical values of CSA and R-CSA for differentiating mild and moderate CTS were 6 mm~2 and 1.7 mm-1, the specificity was 82.6% and 78.3%, the sensitivity was 80.0% and 80.0%, respectively. The accuracy was 80.6% and 76.7%, respectively. The best critical value for distinguishing moderate and severe CTS was 9 mm~2 and 2.2 mm-2, the specificity was 87.5% and 83.8%, the sensitivity was 62.2% and 51.4, and the accuracy was 79.5% and 73.5%, respectively. Conclusion CSA and R-CSA are helpful in reflecting the severity of CTS patients.
【作者單位】： 南京醫(yī)科大學(xué)附屬無(wú)錫人民醫(yī)院超聲醫(yī)學(xué)科;
【基金】：無(wú)錫市衛(wèi)生局面上項(xiàng)目指令性項(xiàng)目(ML201316)
【分類號(hào)】：R445.1;R688
，

本文編號(hào)：1851779