超声波和临床特征在评估手腕道综合征严重性的互补作用:一个横截面研究
Daniela Nicoleta Popescu1,2, Claudiu Costinel Popescu3,4, Oana Morari5
1Doctoral School of Medicine, "Carol Davila" University of Medicine and Pharmacy, 020021 Bucharest, Romania.
Diagnostics (Basel, Switzerland)
|December 11, 2025
概括
超声波测量和临床因素,如夜间症状和神经衰弱,与神经传导研究 (NCS) 定义的手腕道综合征 (CTS) 严重程度相关. 超声波与NCS一起增强严重程度分级,以便更好地诊断.
科学领域:
- 神经学 神经学
- 医疗成像医学成像
背景情况:
- 管综合征 (CTS) 诊断依赖于临床评估和神经传导研究 (NCS).
- 评估CTS严重程度对于有效的管理和治疗计划至关重要.
研究的目的:
- 评估超声波发现与NCS定义的手腕道综合征 (CTS) 严重程度之间的相关性.
- 确定与罗马尼亚患者中CTS严重程度相关的临床和人口因素.
主要方法:
- 对临床诊断出CTS的患者的前性评估.
- 进行了标准化临床评估,中枢神经超声波和NCS.
- 多变量通用估计方程 (GEE) 模型分析了与CTS严重程度的关联.
主要成果:
- 电生理学严重程度与超声波和193名CTS手中的临床参数相关.
- 夜间症状,感官丧失,脑神经衰弱,男性性别,更大的中枢神经截面面积 (mCSA) 和神经运动障碍预测了NCS定义的更高的严重程度.
- 超声波参数显著改善了预测CTS严重性的模型性能.
结论:
- 超声波参数 (mCSA,神经流动性) 和临床特征是NCS定义的CTS严重程度的独立预测因素.
- 超声波补充NCS在分级CTS严重程度.
- 这些发现支持超声波在及时的CTS诊断和管理中的作用.
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