| 高频超声和神经传导检测在腕管综合征的检查效果评价 |
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| 引用本文： | 车峰远,姜良军,王雪. 高频超声和神经传导检测在腕管综合征的检查效果评价[J]. 中华全科医师杂志, 2012, 11(4): 297-298 |
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| 作者姓名： | 车峰远 姜良军 王雪 |
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| 作者单位： | 1. 276003,山东省临沂市人民医院神经内科
2. 276003,山东省临沂市人民医院超声科 |
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| 摘 要： | 比较高频超声和神经传导检测（NCS）在临床诊断为腕管综合征（CTS）患者中的诊断价值。研究37例具有手部感觉症状的患者（63只手），以CTS的临床诊断作为金标准。在支持CTS诊断方面，NCS的诊断敏感性（80％）高于超声（61％）（P=0．047）。超声对于CTS的阳性预测值为100％。NCS比超声的敏感性高，但超声阳性预测值高，可作为筛查。
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| 关 键 词： | 腕管综合征 超声 |
Ultrasonography versus nerve conduction study in diagnosis of patients with carpal tunnel syndrome |
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| CHE Feng-yuan , JIANG Liang-jun , WANG Xue. Ultrasonography versus nerve conduction study in diagnosis of patients with carpal tunnel syndrome[J]. Chinese JOurnal of General Practitioners, 2012, 11(4): 297-298 |
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| Authors: | CHE Feng-yuan JIANG Liang-jun WANG Xue |
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| Affiliation: | .(Department of Neurology, Linyi People＇s Hospital, Linyi 276003, Shandong, China) |
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| Abstract: | To compare the diagnostic value of high-resolution ultrasonography （HR-US） with nerve conduction study （NCS） in patients with clinically defined carpal tunnel syndrome （CTS）, a prospective study was conducted on 37 consecutive patients investigated for sensory hand symptoms. With the clinical diagnosis of CTS as gold standard, NCS showed higher diagnostic sensitivity （80%） than ultrasound （61%） （P = 0. 047）. The positive predictive value of HR-US for CTS was 100%. The results indicated that HR-US could be used as a screening method for majority of clinically suspected CTS patients and only for those with negative HR-US results. |
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| Keywords: | Carpal tunnel syndrome Ultrasound |
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