摘要
目的探讨高频超声在腕管综合征(CTS)临床分型中的应用价值。方法选取2019年06月至2021年06月在本院接受治疗的CTS患者100例作为研究对象,采用高频超声仪进行检查,比较CTS不同临床分型超声检测指标,分析超声相关检测指标对于诊断CTS不同临床分型的临界值及意义,探讨运用超声相关检测指标进行CTS临床分型与顾玉东CTS临床分型的一致性。结果轻度、中度、重度不同CTS临床分型患者其超声检测指标腕管入口正中神经横截面积(CSA-I)与腕管入口-出口正中神经横截面积比值(IOR)比较,差异有统计学意义(P<0.05);对超声检测指标CSA-I与IOR进行受试者工作特征(ROC)曲线分析,两者诊断CTS轻度与中重度、中度与重度的曲线下面积(AUC)值均>0.5,P均<0.001,提示其具有CTS临床分型诊断价值,超声检测指标CSA-I与IOR区分CTS轻、中、重度的临界值分别为11.53mm^(2)、14.05mm^(2)及1.565、1.725;超声检测指标CSA-I、IOR进行CTS临床分型与顾玉东CTS临床分型一致性分析的Cohen's kappa系数分别为0.684、0.637,P均<0.001,提示具有较强强度的一致性。结论高频超声检测指标CSA-I与IOR在不同CTS临床分型中具有明显的差异,其可以用于CTS临床分型预测,并与顾玉东CTS临床分型结果具有较强强度的一致性。
Objective To explore the application value of high-frequency ultrasound in the clinical classification of carpal tunnel syndrome(CTS).Methods Select 100 CTS patients who were treated in our hospital from June 2019 to June 2021 as the research objects.The high-frequency ultrasound system was used for examination,and the ultrasound detection indicators of different clinical types of CTS were compared,and the related ultrasound detection indicators were analyzed for Diagnose the cut-off value and significance of different clinical classifications of CTS,and explore the consistency between the clinical classification of CTS and Gu Yudong's clinical classification of CTS using ultrasound-related detection indicators.Results Comparison of the cross-sectional area of carpal tunnel entrance median nerve(CSA-I)and the cross-sectional area ratio(IOR)of carpal tunnel entrance-exit median nerve(IOR)of patients with different clinical classifications of CTS in mild,moderate,and severe.Statistically significant(P<0.05);Receiver operating characteristic(ROC)curve analysis was performed on the ultrasound detection indicators CSA-I and IOR,and the area under the curve for the diagnosis of CTS mild and moderate,moderate and severe(AUC)values are>0.5,P<0.001,suggesting that it has the value of clinical classification of CTS.The cut-off values of ultrasound detection index CSA-I and IOR to distinguish mild,moderate and severe CTS are 11.53mm2,14.05mm2 and 1.565,respectively 1.725;The Cohen's kappa coefficients of the consistency analysis of CTS clinical classification and Gu Yudong's CTS clinical classification for the ultrasonic detection indexes CSA-I and IOR were 0.684 and 0.637,respectively,with P<0.001,indicating a strong consistency.Conclusion The high-frequency ultrasound detection indexes CSA-I and IOR have obvious differences in different CTS clinical classifications.They can be used to predict the clinical classification of CTS,and have a strong consistency with the results of Gu Yudong's CTS clinical classification.
作者
姚晶晶
岳湘竹
YAO Jing-jing;YUE Xiang-zhu(Department of Ultrasound Diagnosis Pingmei Shenma Group General Hospital,Pingdingshan 467000,Henan Province,China)
出处
《罕少疾病杂志》
2022年第8期100-102,共3页
Journal of Rare and Uncommon Diseases
关键词
高频超声
腕管综合征
临床分型
电生理检测
受试者工作特征曲线
High Frequency Ultrasound
Carpal Tunnel Syndrome
Clinical Classification
Electrophysiological Testing
Receiver Operating Characteristic Curve
