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中间神经截面面积的超声波参考值:对健康个体数据的元分析
Shawn C Roll1, Sandy C Takata1, Buwen Yao1
1Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, CA, USA.
Journal of diagnostic medical sonography : JDMS
|September 1, 2023
概括
这项研究确定了中枢神经横截面积 (CSA) 的参考值,发现手管的规范平均值为8.60mm2.2. 年龄和性别影响手腕道综合征的诊断值.
科学领域:
- 神经学 神经学
- 放射学 放射学是一门学科.
- 人体解剖学 解剖学 解剖学
背景情况:
- 带道综合征 (CTS) 是一种常见的疾病.
- 对CTS的准确诊断标准至关重要.
- 中间神经横截面积 (CSA) 是CTS诊断中的一个关键指标.
研究的目的:
- 为了确定中枢神经CSA的参考值.
- 确定影响CTS诊断值的患者特异性因素.
主要方法:
- 对73项研究进行了元分析,以确定标准的中枢神经CSA值.
- 超回归分析检查了年龄,性别和横向性对CSA的影响.
- 研究的质量评估使用修改后的NIH工具进行.
主要成果:
- 中间神经CSA是6.46mm2 (靠近前臂),8.68mm2 (手腕道入口) 和8.60mm2 (靠近手腕道).
- 年龄在近亲手道 (p=0.047) 显示出与CSA的积极关联.
- 男人表现出更大的近道手管CSA (9.42mm2) 比女性 (7.71mm2,p=0.03).
结论:
- 在手掌道中介神经CSA的参考值是8.60mm2.2.
- 诊断值可能需要针对儿科或老年人群进行调整.
- 男性的10.0mm2值需要谨慎应用,因为规范平均值超过了这个值.
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