背景:这项研究旨在证明我们使用护理点超声结合CTS-6诊断特发性腕管综合征的新诊断图的有效性。
方法:我们对2020年至2023年到我们科室就诊并接受点护理超声联合CTS-6的患者数据进行了回顾性分析。关于年龄的数据,性别,初步和最终诊断,正中神经的横截面积,CTS-6得分,获得和电诊断严重程度并进行统计学分析。
结果:在我们研究的177个腕关节中,138例(78%)被诊断为腕管综合征,39例(22%)没有(非腕管综合征)。用我们的诊断方法,127个腕关节(72%)最初被诊断为腕管综合征,23个手腕(13%)患有非腕管综合征,其余27个手腕(15%)为边界线。除两种情况外,我们对腕管综合征和非腕管综合征的最初诊断均得到维持。横截面积,CTS-6得分,与电诊断严重程度呈正相关。事后分析显示,截止值为31.25点的新评分系统(CTS-6评分2×横截面积)显示出高达95%的敏感性和100%的特异性。
结论:我们的研究结果表明,大多数疑似特发性腕管综合征病例可以使用诊断图正确诊断。虽然额外的工具,包括电诊断研究,可能需要边缘案件,使用点护理超声结合CTS-6可能是值得推荐的一线确认测试,因为点护理超声和CTS-6可能是互补的工具,这张图表可能对非典型或异常病例特别有益。
方法:诊断III。
BACKGROUND: This study aimed to demonstrate the effectiveness of our new diagnostic chart using point of care ultrasound combined with CTS-6 for diagnosing idiopathic carpal tunnel syndrome.
METHODS: We conducted a retrospective analysis of the data of patients who visited our department and received point of care ultrasound combined with CTS-6 from 2020 to 2023. Data regarding age, sex, initial and final diagnosis, cross-sectional area of the median nerve, CTS-6 score, and electrodiagnostic severity were obtained and statistically analyzed.
RESULTS: Of the 177 wrists included in our study, 138 (78 %) were diagnosed with carpal tunnel syndrome, while 39 (22 %) were not (non-carpal tunnel syndrome). With our diagnostic method, 127 wrists (72 %) were diagnosed initially with carpal tunnel syndrome, 23 wrists (13 %) with non-carpal tunnel syndrome, and the rest 27 wrists (15 %) as borderline. Our initial diagnoses of carpal tunnel syndrome and non-carpal tunnel syndrome were maintained in all cases except for two. Cross-sectional area, CTS-6 score, and electrodiagnostic severity showed a positive correlation. A post hoc analysis showed that the new scoring system (CTS-6 score + 2 × cross-sectional area) with a cutoff value of 31.25 points showed a sensitivity as high as 95 % and a specificity of 100 %.
CONCLUSIONS: Our findings suggest that most suspected idiopathic carpal tunnel syndrome cases can be diagnosed correctly using the diagnostic chart. Although additional tools, including electrodiagnostic studies, may be needed for borderline cases, the use of point of care ultrasound combined with CTS-6 may be a recommendable first-line confirmatory test because point of care ultrasound and CTS-6 could be complementary tools, and this chart may be especially beneficial for atypical or outlier cases.
METHODS: Diagnostic III.