理性的临床检查. 这位患者是否患有手腕道综合征?
1Division of Rheumatology, University of Washington Health Sciences Center, 1959 NE Pacific St, Box 356428, Seattle, WA 98195, USA. cadarcy@u.washington.edu
JAMA
|June 24, 2000
概括
病史记录和体检操作用于诊断手腕道综合征 (CTS). 催眠,手图和指绑架强度对CTS诊断最有帮助.
科学领域:
- 神经学 神经学
- 整形外科 整形外科 整形外科
- 诊断医学 诊断医学
背景情况:
- 历史记录和体检操作,如Tinel和Phalen标志,通常用于诊断手腕道综合征 (CTS).
- 这些传统方法的诊断准确性需要系统的评估.
研究的目的:
- 系统地审查历史记录和体检操作的精度和准确性,以诊断成年人手腕道综合征 (CTS).
主要方法:
- 使用MEDLINE和相关文章 (1966年1月至2000年2月) 的文献资料进行了系统的文献搜索.
- 包括比较身体检查结果与疑似CTS患者的电诊断测试的研究.
- 来自12项选定的研究的数据由两位作者独立审查和抽象.
主要成果:
- 在中枢神经区域 (LR,3.1),经典/可能的卡茨手图结果 (LR,2.4) 和弱指绑架强度 (LR,1.8) 中的低最好区分CTS.
- 不太可能的卡茨手图结果 (LR,0.2) 和正常的指绑架强度 (LR,0.5) 反驳了CTS.
- 夜间麻醉,Phalen和Tinel标志,Tenar缩和标准的感官测试具有有限的诊断价值.
结论:
- 手部症状图,痛和指绑架强度测试有助于CTS的电诊断.
- 这些发现的可靠性受到使用神经导电研究作为标准标准的局限性限制.
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