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腕管综合征的MRI诊断

MRI Diagnosis of Carpal Tunnel Syndrome

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【作者】 王嵩冯晓源沈天真范卫君邓刚陈星荣

【Author】 Wang Song; Feng Xiaoyuan; Shen Tianzhen; et al.(Department of Radiology, Huashan Hospital Shanghai Medical University, Shanghai 200040)

【机构】 上海医科大学华山医院放射科!200040

【摘要】 研究腕管综合征(CTS)的MRI特征及应用价值。材料和方法:经临床及手术证实的CTS12例,行MRI检查,以横断面为主。结果:12例CTS的MRI表现为:正中神经进入腕管时肿胀增粗12例,正中神经肿胀率(MNSR)为2.25:1。正中神经腕管内受压变扁12冽,正中神经扁平率(MNFR)为3.4。腕横韧带向掌侧膨隆10例,腕横韧带膨隆率(BR)为15.8%。T2WI像正中神经信号增高12例。结论:MRI对CTS的诊断、治疗方式的选择及疗效观察有重要的价值。

【Abstract】 To evaluate the diagnosis and clinical value of MRI in carpal tunnel syndrome(CTS). Materials and mothods: 12 surgical proven patients (3 male, 9 female)were studied with MRI, the images weremainly aquired in transaxial planes. Results: The MRI findings of CTS incuded: swelling of the mediannerve,best evaluated as it entered the carpal tunnel at the pisiform level, the mean median nerve swellingratio(MNSR) was 2. 25: 1. flattening of the median nerve, most reliably judged at the hamate level, reveded median nerve flattening ratio as 3. 4. palmar bowing of the flexor retinaculum, with a mean bowingradio(BR) 0f 15.8%. increased signal intensity of the medan nerve on T2WI in all 12 wrists with CTS.Conclusion: MRI is contributory to the diagnosis and treatment in patients with CTS.

【关键词】 腕管综合征MRI诊断正中神经
【Key words】 Carpal tunnel syndromeMRIDiagnesisMedian nerve
  • 【文献出处】 中国医学计算机成像杂志 ,CHINESE JOURNAL OF MEDICAL COMPUTED IMAGING , 编辑部邮箱 ,1997年02期
  • 【分类号】R681.7
  • 【被引频次】19
  • 【下载频次】164
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