EVIDENCE-BASED GUIDELINE: NEUROMUSCULAR ULTRASOUND FOR THE DIAGNOSIS OF CARPAL TUNNEL SYNDROME
EVIDENCE-BASED GUIDELINE: NEUROMUSCULAR ULTRASOUND FOR THE DIAGNOSIS OF CARPAL TUNNEL SYNDROME
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DOI：
10.1002/mus.23389
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发表时间：
2012-08-01
期刊：
影响因子：
3.4
通讯作者：
Walker, Francis O.
中科院分区：
文献类型：
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作者：
Cartwright, Michael S.;Hobson-Webb, Lisa D.;Walker, Francis O.
简介：本研究的目的是为神经肌肉超声在腕管综合征（CTS）诊断中的应用制定一个循证指南。研究方法：提出了两个问题：（1）超声测量正中神经横截面积增大诊断CTS的准确性如何？(2)在诊断CTS时，神经肌肉超声比单独的电诊断研究提供了什么附加价值？进行了一项系统性综述，并根据美国神经病学学会的诊断准确性文章评级标准（问题1）和筛选文章标准（问题2）对研究进行分类。结果如下：神经肌肉超声测量腕部正中神经横截面积是准确的，可以作为CTS的诊断测试（A级）。在诊断CTS时，神经肌肉超声可能会增加电诊断研究的价值，在CTS患者（B级）的腕部结构异常筛查中应考虑神经肌肉超声。肌肉神经46：287-293，2012
Introduction: The purpose of this study was to develop an evidence-based guideline for the use of neuromuscular ultrasound in the diagnosis of carpal tunnel syndrome (CTS). Methods: Two questions were asked: (1) What is the accuracy of median nerve cross-sectional area enlargement as measured with ultrasound for the diagnosis of CTS? (2) What added value, if any, does neuromuscular ultrasound provide over electrodiagnostic studies alone for the diagnosis of CTS? A systematic review was performed, and studies were classified according to American Academy of Neurology criteria for rating articles of diagnostic accuracy (question 1) and for screening articles (question 2). Results: Neuromuscular ultrasound measurement of median nerve cross-sectional area at the wrist is accurate and may be offered as a diagnostic test for CTS (Level A). Neuromuscular ultrasound probably adds value to electrodiagnostic studies when diagnosing CTS and should be considered in screening for structural abnormalities at the wrist in those with CTS (Level B). Muscle Nerve 46: 287-293, 2012