Comparison of the Clinical Effectiveness of Ultrasound-Guided Corticosteroid Injection with and without Needle Release of the Transverse Carpal Ligament in Carpal Tunnel Syndrome
机构：[a]Ultrasonic Department,Sichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital, School of Medicine, University of Electronic Science and Technology of China四川省人民医院[b]Emergency department, Sichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital, School of Medicine, University of Electronic Science and Technology of China,四川省人民医院[c]Psychiatry Department, Chengdu Mental Health Center, The Fourth People’ Hospital of Chengdu,[d]Ultrasonic Department, Sichuan Cancer Hospital Institute, Sichuan Cancer Center, School of Medicine, University of Electronic Science and Technology of China, Chengdu, PR China四川省人民医院四川省肿瘤医院超声医学中心超声医学中心
Background: To compare the clinical effectiveness of ultrasound-guided corticosteroid injection with and without needle release of the transverse carpal ligament (TCL) in carpal tunnel syndrome (CTS). Methods: Between May 2014 and June 2016, 52 patients (56 wrists) with CTS were included in this study. Among these patients, 28 wrists were treated with ultrasound-guided corticosteroid injection plus needle release of the TCL (group A) and 28 wrists were treated with a single ultrasound-guided corticosteroids injection (group B). The following parameters were assessed and compared including postoperative results of procedure based on relief of symptoms, electrophysiological parameters (distal motor latency, sensory conduction velocity, and sensory nerve action potential of median nerve), and ultrasound parameters (anteroposterior diameter and cross-sectional area of the median nerve at the levels of pisiform and hamate bone, and the thicknesses of TCL on the cross-section at the level of hamate bone). Results: The overall excellent and good rate regarding the postoperative results of procedure based on the relief of symptoms at 1 month postoperatively was 82.1% in group A and 46.4% in group B (p = 0.004). There was significant difference in the above electrophysiological and ultrasound parameters between the preoperative and postoperative values in both groups (all p < 0.05). Furthermore, a significant difference was also observed in the postoperative values of the above-mentioned electrophysiological and ultrasound parameters in the 2 groups (all p < 0.05). Conclusions: Both approaches had treatment benefit in CTS. Ultrasound-guided corticosteroid injection in combination with needle release of the TCL is superior to the single ultrasound-guided corticosteroids injection. (C) 2017 S. Karger AG, Basel
第一作者机构：[a]Ultrasonic Department,Sichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital, School of Medicine, University of Electronic Science and Technology of China
共同第一作者：
通讯作者：
通讯机构：[b]Emergency department, Sichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital, School of Medicine, University of Electronic Science and Technology of China,[d]Ultrasonic Department, Sichuan Cancer Hospital Institute, Sichuan Cancer Center, School of Medicine, University of Electronic Science and Technology of China, Chengdu, PR China[*1]Ultrasonic Department, Sichuan Cancer Hospital Institute, Sichuan Cancer Center,School of Medicine, University of Electronic Science and Technology of China No. 55, Section 4, South People’s Road, Wuhou District, Chengdu 610000 (PR China)[*2]Emergency Department, Sichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital, University of Electronic Science and Technology of China No. 32, West Section 2, Yihuan Road, Qingyang District, Chengdu 610000 (PR China)
推荐引用方式(GB/T 7714)：
Xuan-Yan Guo,Mao-xiang Xiong,Yu Zhao,et al.Comparison of the Clinical Effectiveness of Ultrasound-Guided Corticosteroid Injection with and without Needle Release of the Transverse Carpal Ligament in Carpal Tunnel Syndrome[J].EUROPEAN NEUROLOGY.2017,78(1-2):33-40.doi:10.1159/000477719.
APA：
Xuan-Yan Guo,Mao-xiang Xiong,Yu Zhao,Fan-Ding He,Xue-Qing Cheng...&Man Lu.(2017).Comparison of the Clinical Effectiveness of Ultrasound-Guided Corticosteroid Injection with and without Needle Release of the Transverse Carpal Ligament in Carpal Tunnel Syndrome.EUROPEAN NEUROLOGY,78,(1-2)
MLA：
Xuan-Yan Guo,et al."Comparison of the Clinical Effectiveness of Ultrasound-Guided Corticosteroid Injection with and without Needle Release of the Transverse Carpal Ligament in Carpal Tunnel Syndrome".EUROPEAN NEUROLOGY 78..1-2(2017):33-40
