نویسندگان

1 دانشگاه علوم پزشکی مشهد

2 مرکز تحقیقات ارتوپدی ـ دانشگاه علوم پزشکی مشهد

3 واحد توسعه تحقیقات بالینی، بیمارستان قائم، دانشکده پزشکی، دانشگاه علوم پزشکی مشهد

چکیده

پیش‎زمینه: هدف از این مطالعه بررسی ارتباط بین تغییرات ایجاد شده در سونوگرافی قبل و بعد از عمل جراحی برای سندرم تونل کارپ (CTS) است.
مواد و روش‎ها:  در یک مطالعه آینده‎نگر از 15 بیمار مراحعه کننده وکاندید عمل جراحی برای سندرم تونل کارپ بین سال‎های 96-97 سونوگرافی قبل و سه ماه بعد از عمل جراحی بعمل آمد و تغییرات ساختاری به وجود آمده در عصب مدین و ارتباط آن با تونل کارپ مورد بررسی قرار گرفت.
یافته‎ها: در یافته‎های سونوگرافی نشان داده شد که بعد از عمل، یافته‎های مربوط به ارتفاع، قطر و سطح مقطع  عصب مدین در تونل کارپ در ناحیه پیزیفرم، کاهش و در ناحیه هوک همیت افزایش یافت (P=0.002  در پیزیفرم و P=0.001 در هوک همیت) که دلیل بر رفع ادم عصب در پیزیفرم و برداشته شدن مؤثر فشار از روی عصب در هوک همیت است.
نتیجه‎گیری: سونوگرافی عصب مدین از نظر بررسی تغییرات حاصله در مساحت عصب مدین می‎تواند به‎عنوان روشی مؤثر و دقیق در تشخیص و پیگیری بعد از عمل بیماران مبتلا به سندرم تونل کارپ باشد.
 

کلیدواژه‌ها

عنوان مقاله [English]

Evaluation and Comparison of Changes in Ultrasonography before and after Carpal Tunnel release

نویسندگان [English]

  • Behzad Aminzadeh 1
  • Motahare Ebrahimnezhad 1
  • Mohammad H Ebrahimzadeh 2
  • Hasan Mehrad Majd 3
  • Ali Moradi 2

چکیده [English]

Background: This study aimed to evaluate the relationship between changes observed in an ultrasonography before and after the surgical release of carpal tunnel syndrome (CTS).
Methods: This prospective study was performed on 15 candidates of CTS surgery during 2017-2018 who underwent an ultrasonography before and three months after the surgery. The structural changes in the median nerve and their correlation with the carpal tunnel were analized.
Results: According to ultrasonography results, the findings related to height, diameter and cross-sectional area  of the median nerve decreased in the pisiform region of carpal tunnel while they increased in the area of hamate hook (P=0.002 in pisiform and P=0.001 in hamate hook), which might be due to the elimination of nerve dysfunction in the pisiform and effective decrease of pressure on nerve in hamate hook.
Conclusion: In terms of evaluation of changes in the area of the median nerve, ultrasonography of the median nerve could be an effective and accurate technique to recognize the compression and follow up the nerve status in patients with CTS after surgery.
 

کلیدواژه‌ها [English]

  • Keywords: Carpal Tunnel Syndrome
  • Surgical Release of the Carpal Tunnel
  • Ultrasonography
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