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The value of sonographic quantitative parameters in the diagnosis of carpal tunnel syndrome in the Vietnamese population

机译：越南语癌隧道综合征诊断中超声定量参数的价值

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Objective To examine the value of ultrasound (US) in the diagnosis of carpal tunnel syndrome (CTS) in the Vietnamese population. Methods This prospective cross-sectional study involved 42 wrists of 25 patients with idiopathic CTS evaluated by US. In addition, 38 wrists of 22 healthy volunteers were included as the control group. Results Significant differences in the median nerve cross-sectional area (CSA) at different levels were found between patients with CTS and controls. Using a cut-off value of 9.5?mm ~(2) for the median nerve CSA at the pisiform (p-CSA), US had a sensitivity and specificity of 95.2% and 97.4%, respectively, for the diagnosis of CTS. Area under the curve analysis revealed a sensitivity and specificity of 100% and 95.4%, respectively, for the prediction of severe CTS using a p-CSA of &15.5?mm ~(2). Conclusions The median nerve CSA is a highly accurate parameter in the diagnosis of CTS. We recommend using a p-CSA of &9.5?mm ~(2) as a diagnostic criterion for CTS and a p-CSA of &15.5?mm ~(2) as a marker for severe CTS in the Vietnamese population. Research Registry number: 7261
机译：目的探讨超声（US）在越南人口癌症隧道综合征（CTS）诊断中的价值。方法这项前瞻性横截面研究涉及42名25名特发性CTS患者的手腕。此外，还包括38名健康志愿者的手腕作为对照组。结果CTS和对照患者在不同水平的中位神经横截面积（CSA）的显着差异。使用Pisiform（P-CSA）中位神经CSA的截止值为9.5？mm〜（2），我们的敏感性和特异性分别为95.2％和97.4％，用于诊断CTS。曲线下的面积分别揭示了使用＆amp的p-csa预测严重CT的100％和95.4％的敏感性和特异性; GT; 15.5？mm〜（2）。结论中位神经CSA是CTS诊断中的高度准确参数。我们建议使用＆amp; 9.5？mm〜（2）作为CTS的诊断标准和＆amp的p-csa; 15.5？mm〜（2）作为严重CTS的标记越南人口。研究注册表号：7261

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