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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Carpal Tunnel Syndrome in Hypothyroidism
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Carpal Tunnel Syndrome in Hypothyroidism

机译：甲状腺功能减退症的腕管综合症

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Introduction: Carpal Tunnel Syndrome (CTS) is an entrapment neuropathy that occurs due to compression of median nerve in the carpal tunnel and hypothyroidism is one of the important causes of CTS. Aim: To study clinical profile of carpal tunnel syndrome in patients with primary hypothyroidism. Materials and Methods: This was cross-sectional study done in Smt. Kashibai Navale Medical College, Pune, Maharashtra. Adult patients with diagnosis of primary hypothyroidism were included in this study. Patients with other possible causes of CTS were excluded. Detailed medical history was obtained and all patients underwent clinical examination and nerve conduction study by electrophysiological method. Results: Total 36 adult patients were included in this study, 86.1% females and 13.9% males. CTS were found in 6 (16.7%) patients. Increased Body Mass Index (BMI) and presence of clinical symptoms and/or signs of CTS correlated independently with presence of CTS in hypothyroidism. (p-value- 0.03 and < 0.0001 respectively). No correlation was found between gender, age of the patient, duration of disease, serum TSH level, aetiology of the disease, thyroid hormone replacement therapy and occurrence of CTS in hypothyroidism. Conclusion: Increase in BMI is an important risk factor for CTS in hypothyroidism and clinical evidence of CTS is a very sensitive parameter for the same.
机译：简介：腕管综合症（CTS）是由于腕管正中神经受压而发生的夹带性神经病，甲状腺功能减退是导致CTS的重要原因之一。目的：研究原发性甲状腺功能减退症患者腕管综合征的临床特征。材料和方法：这是在Smt中进行的横断面研究。马哈拉施特拉邦浦那喀什拜纳瓦勒医学院。诊断为原发性甲状腺功能减退的成人患者包括在本研究中。排除其他可能导致CTS的患者。获得详细的病史，并通过电生理方法对所有患者进行临床检查和神经传导研究。结果：本研究共纳入36名成年患者，女性为86.1％，男性为13.9％。在6（16.7％）的患者中发现了CTS。甲状腺功能减退症患者的体重指数（BMI）升高和临床症状和/或CTS征兆的存在与CTS的存在独立相关。 （p值-0.03和<0.0001分别）。在性别，患者年龄，疾病持续时间，血清TSH水平，疾病病因，甲状腺激素替代疗法和甲状腺功能减退症中CTS的发生之间未发现相关性。结论：BMI升高是甲状腺功能减退症中CTS的重要危险因素，而CTS的临床证据是该指标非常敏感的参数。

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