[1]张平,张明亮,周友清,等.B超诊断非典型腕管综合征8例[J].实用手外科杂志,2021,35(02):0.[doi:10.3969/j.issn.1671-2722.2021.02.037]
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B超诊断非典型腕管综合征8例
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《实用手外科杂志》[ISSN:1671-2722/CN:10-1336/R]

卷:
35
期数:
2021年02期
页码:
0
栏目:
出版日期:
2021-06-20

文章信息/Info

作者:
张平 张明亮 周友清 徐铅
(张家港市第三人民医院 手外科, 江苏 张家港 215611)
关键词:
关键词: 腕管综合征 非典型 高频超声  
DOI:
10.3969/j.issn.1671-2722.2021.02.037
摘要:
摘要: 目的 探讨B超诊断非典型腕管综合征(CTS)的价值。方法 2018年1月-2020年1月,对8例12侧范围超正中神经支配区的手麻患者,临床无法确定CTS诊断,但疑诊为CTS,采取B超辅助检查正中神经,若豌豆骨水平截面积大于(包含)10 mm2,则判断为CTS,行正中神经松解术并观察其疗效;若小于 10 mm2,排除CTS诊断继续门诊观察。结果 B超检查显示6例10侧符合CTS诊断,豌豆骨水平截面积以均数±标准差(x±s)表示为(12.57±2.18) mm2;行正中神经松解术后,经6~12个月随访,正中神经支配区手麻症状均缓解;正中神经以外的症状除1例小指麻木仍存在外,其余均缓解;2例2侧不符合CTS,1年内随访症状未缓解。结论 对手麻超正中神经支配范围的患者,临床怀疑为CTS但难以确诊,B超检查有助于筛选诊断。

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更新日期/Last Update: 2021-06-20