UTILITY OF ULTRASOUND ELASTOGRAPHY IN EVALUATION OF CARPAL TUNNEL SYNDROME: A SYSTEMATIC REVIEW AND META-ANALYSIS

被引：71

作者：

Lin, Chih-Peng ^{[1
,2
]}

Chen, Ing-Jeng ^{[2
,3
]}

Chang, Ke-Vin ^{[2
,3
,4
]}

Wu, Wei-Ting ^{[4
]}

Ozcakar, Levent ^{[5
]}

机构：

[1] Natl Taiwan Univ Hosp, Dept Anesthesiol, Taipei, Taiwan

[2] Natl Taiwan Univ, Coll Med, Taipei, Taiwan

[3] Natl Taiwan Univ Hosp, Dept Phys Med & Rehabil, Taipei, Taiwan

[4] Natl Taiwan Univ Hosp, Dept Phys Med & Rehabil, Bei Hu Branch, Taipei, Taiwan

[5] Hacettepe Univ, Dept Phys & Rehabil Med, Med Sch, Ankara, Turkey

来源：

ULTRASOUND IN MEDICINE AND BIOLOGY | 2019年 / 45卷 / 11期

关键词：

Ultrasound; Elastography; Median nerve; Carpal tunnel; Entrapment; SHEAR-WAVE ELASTOGRAPHY; MEDIAN NERVE STRAIN; MORPHOLOGICAL-CHANGES; CLINICAL-USE; DIAGNOSIS; SONOELASTOGRAPHY; STIFFNESS; TENDON; RECOMMENDATIONS; RELIABILITY;

D O I：

10.1016/j.ultrasmedbio.2019.07.409

中图分类号：

O42 [声学];

学科分类号：

070206 ; 082403 ;

摘要：

We systematically reviewed observational studies investigating ultrasound elastography for median nerves in the carpal tunnel syndrome (CTS) population. PubMed and Embase were studied from the earliest record to April 2019. The primary outcome was the comparison of elasticity of the median nerve between participants with and without CTS, quantified by the standardized mean difference (SMD) and its 95% confidence interval. The median nerve is considered to be stiffer in the CTS population when the SMD of tissue strain is negative, or that of strain ratio, shear modulus and shear wave velocity are positive. The present meta-analysis included 17 studies, evaluating 1401 wrists. Our result showed that regardless of the ultrasound elastography mode (tissue strain, strain ratio, shear modulus and shear wave velocity) used, median nerves at the wrist level in patients with CTS were consistently stiffer than those in healthy controls. Importantly, ultrasound elastography revealed its potential in differentiating CTS of different severity. (C) 2019 World Federation for Ultrasound in Medicine & Biology. All rights reserved.

引用

页码：2855 / 2865

页数：11

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