지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 45 - 53 (9page)
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초록· 키워드
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Objective To investigate the optimal sonographic method for diagnosing carpal tunnel syndrome (CTS) in patients with diabetic sensorimotor polyneuropathy (DSP). Methods A total of 190 participants were divided into four groups based on DSP history and electrodiagnostic results of CTS. The absolute parameters were measured at baseline and the relative values were calculated: maximal cross-sectional area (CSA) of the median nerve throughout the carpal tunnel (Mmax), median nerve CSA at the forearm level (Mf), ulnar nerve CSA at the pisiform level (Upi), difference between Mmax and Mf (DMM), and difference between Mmax and Upi (DMU). Then, the optimal ultrasonographic parameters for diagnosing CTS, according to the presence of DSP, using absolute and relative cutoff values were analyzed. Results Median and ulnar nerve CSAs were significantly larger in the DSP group than in the control group. In the DSP participants, the mean Mmax, DMM, and DMU values were significantly larger in patients with both DSP and CTS than in patients with DSP only. The Mmax thresholds of 9.5 mm2 in the control group and 11.5 mm2 in the DSP group showed the greatest sensitivity and specificity for diagnosing CTS. The DMM thresholds of 2.5 mm2 and DMU thresholds of 4.5 mm2 had the greatest sensitivity and specificity in both the DSP and control groups. Conclusion Measurement of Mmax, DMM and DMU is an optimal ultrasonographic evaluation method for diagnosing CTS in patients with DSP.
목차
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참고문헌 (23)
참고문헌 신청
Gelberman RH / 1994 / Peripheral nerve compression / Instr Course Lect 43:31~53
Dyck PJ / 1993 / The prevalence by staged severity of various types of diabetic neuropathy, retinopathy, and nephropathy in a population-based cohort : the Rochester Diabetic Neuropathy Study / Neurology 43:817~824
Dyck PJ / 2011 / Diabetic polyneuropathies : update on research definition, diagnostic criteria and estimation of severity / Diabetes Metab Res Rev 27:620~628
Atroshi I / 1999 / Prevalence of carpal tunnel syndrome in a general population / JAMA 282:153~158
Wong SM / 2004 / Carpal tunnel syndrome : diagnostic usefulness of sonography / Radiology 232:93~99
Dyck PJ / 1993 / The prevalence by staged severity of various types of diabetic neuropathy, retinopathy, and nephropathy in a population-based cohort : the Rochester Diabetic Neuropathy Study / Neurology 43:817~824
Dyck PJ / 2011 / Diabetic polyneuropathies : update on research definition, diagnostic criteria and estimation of severity / Diabetes Metab Res Rev 27:620~628
Atroshi I / 1999 / Prevalence of carpal tunnel syndrome in a general population / JAMA 282:153~158
Wong SM / 2004 / Carpal tunnel syndrome : diagnostic usefulness of sonography / Radiology 232:93~99
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