CTS临床诊断中神经肌电图、高频超声及MRI的应用价值对比  

Comparison on the Application Value of Electroneuromyography,High-Frequency Ultrasound and MRI in the Clinical Diagnosis of CTS

作　　者：孙婕 李博文 郑兰兰 SNU Jie;LI Bowen;ZHENG Lanlan(Ultrasound Diagnosis Department,General Hospital of Pingmei Shenma Group,Pingdingshan 467000,China;Ultrasound Orthopedics,General Hospital of Pingmei Shenma Group,Pingdingshan 467000,China;Ultrasound Department,General Hospital of Pingmei Shenma Group,Pingdingshan 467000,China)

机构地区：[1]平煤神马集团总医院超声诊断科,河南平顶山467000 [2]平煤神马集团总医院超声骨科,河南平顶山467000 [3]平煤神马集团总医院超声科,河南平顶山467000

出　　处：《河南医学研究》2025年第8期1514-1517,共4页Henan Medical Research

摘　　要：目的 对比分析腕管综合征(CTS)临床诊断中神经肌电图(EMG)、高频超声(HFUS)及核磁共振成像(MRI)的应用价值。方法 收集2021年1月至2023年12月平煤神马医疗集团总医院接受治疗的80例疑似CTS患者,并全部进行EMG、HFUS及MRI检查。以手术结果为金标准,对比EMG、HFUS及MRI对CTS的诊断价值。依据EMG检查结果将CTS分为轻、中、重度3组。采用HFUS和MRI检测比较3组正中神经横截面积(CSA)、正中神经肿胀率(MNSR)和正中神经扁平率(MNFR)。结果 80例疑似CTS患者,经手术治疗确诊的为72例。以手术结果为金标准,EMG的一致性Kappa值为0.863,HFUS的一致性Kappa值为0.900,MRI的一致性Kappa值为0.888。3种检查方法用于诊断CTS差异无统计学意义(P>0.05)。不同程度的CTS患者△S组间比较,差异有统计学意义(P<0.05)。不同程度的CTS患者MNSR、MNFR组间比较,差异有统计学意义(P<0.05)。结论 EMG、HFUS及MRI诊断CTS的临床价值均较高,且HFUS和MRI可以判断CTS严重程度。Objective To compare and analyze the application value of electroneuromyography(EMG),high-frequency ultrasound(HFUS)and magnetic resonance imaging(MRI)in the clinical diagnosis of carpal tunnel syndrome(CTS).Methods A total of 80 patients with suspected CTS who underwent EMG,HFUS and MRI examinations in General Hospital of Pingmei Shenma Group were enrolled from January 2021 to December 2023.Taking surgical results as the golden standard,diagnostic value of EMG,HFUS and MRI for CTS was compared.According to EMG results,CTS patients were divided into mild group,moderate group and severe group.The median nerve cross-sectional area(CSA),median nerve swelling rate(MNSR)and median nerve flattening rate(MNFR)in the three groups were compared by HFUS and MRI.Results In the 80 patients with suspected CTS,surgical treatment showed that there were 72 cases with CTS.Taking surgical results as the golden standard,consistency Kappa values of EMG,HFUS and MRI were 0.863,0.900 and 0.888,respectively.There was no significant difference in diagnosis results of CTS by the three methods(P>0.05).There were significant differences in△S among patients with different severity of CTS(P<0.05),and there were also significant differences in MNSR and MNFR(P<0.05).Conclusion EMG,HFUS and MRI all have high clinical value in the diagnosis of CTS.HFUS and MRI can determine the severity of CTS.

关 键 词：腕管综合征 神经肌电图 高频超声 核磁共振成像 应用价值 

分 类 号：R445[医药卫生—影像医学与核医学]