MỐI LIÊN QUAN GIỮA SIÊU ÂM DOPPLER NĂNG LƯỢNG VÀ PHÂN ĐỘ MAURO MONDELLLI CỦA BỆNH NHÂN CÓ HỘI CHỨNG ỐNG CỔ TAY

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Tác giả: Thị Hương Loan Lương, Nhật Bách Nguyễn, Thị Hiền Nguyễn, Thị Thu Thuỷ Nguyễn, Văn Cường Nguyễn, Thị Lan Trần

Ngôn ngữ: vie

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Thông tin xuất bản: Tạp chí Khoa học và Công nghệ - Đại học Thái Nguyên, 2023

Mô tả vật lý: tr.54-59

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ID: 339630

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Nghiên cứu nhằm mô tả mối liên quan giữa đặc điểm siêu âm doppler năng lượng và phân độ Mauro mondellli của bệnh nhân có hội chứng ống cổ tay. Phương pháp mô tả cắt ngang thực hiện ở 36 bệnh nhân với 49 cổ tay có hội chứng ống cổ tay được chẩn đoán hội chứng ống cổ tay theo tiêu chuẩn của Viện Quốc gia Hoa Kỳ về sức khỏe và an toàn nghề nghiệp năm 1993 thấy tỷ lệ bệnh nhân nữ/nam= 8/1. Tuổi trung bình là 54,4 ±12,1. Phân độ lâm sàng: 48,9% ống cổ tay bệnh ở giai đoạn trung bình, 32,7% ở giai đoạn nặng. Có 57,1% ống cổ tay có dấu hiệu Notch (+), dấu hiệu Notch đảo ngược (+) ở 4,1% ống cổ tay. Dấu hiệu tăng sinh mạch gặp ở 55,1% ống cổ tay. Diện tích dây thần kinh giữa đầu gần ống cổ tay trung bình 11,1± 1,9 ở bên tay thuận và 11,7±1,4 ở bên không thuận. Bệnh nhân có phân độ Mauro mondellli nhẹ có phân độ siêu âm là trung bình, nặng nhiều hơn phân độ siêu âm bình thường, nhẹ. Có mối liên quan giữa các chỉ số của dây thần kinh giữa (diện tích dây thần kinh giữa đầu gần ống cổ tay, hiệu số diện tích dây thần kinh giữa) với phân độ M. Mondelli.The study aims to describe the the relationship between energy doppler ultrasound characteristics and Mauro mondelli grade in carpal tunnel syndrome patients. Cross-sectional description of 36 patients with 49 carpal tunnels diagnosed with carpal tunnel syndrome according to National Institute for Occupational Safety and Health in 1993 was Female/male ratio = 8/1. The mean age of the patients was 54.4 ±12. Clinical classification: 48.9% carpal tunnel disease in moderate stage, 32.7% in severe stage. There was 57.1% of the carpal tunnels with Notch sign (+), reversed Notch sign (+) in 4.1% of the carpal tunnels. Signs of angiogenesis were found in 55.1% of the carpal tunnel. The median nerve area proximal to the carpal tunnel averaged 11.1± 1.9 on the preferred hand and 11.7±1.4 on the other hand. In patients with mild clinical grade according to Mauro Mondelllim, we found that the majority of patients had moderate and severe severity on ultrasound. There is a relationship between median nerve indices (medial nerve area proximal to the carpal tunnel , median nerve area difference) with clinical grade according to M. Mondelli.

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