TY  - JOUR
T1  - Diabetik Polinöropatili hastalarda KTS teşhisinde el bileği B mod ve doppler ultrasonografisinin diagnostik değeri
TT  - The diagnostic value of wrist B-mode and Doppler ultrasonography in the diagnosis of CTS in diabetic polineuropathy patients
AU  - Boyacı, Nurefşan
AU  - Boyacı, Ahmet
AU  - Tutoğlu, Ahmet
AU  - Dokumacı, Dilek Şen
AU  - Karakaş, Ekrem
AU  - Sarıkaya, Suna
AU  - Karakaş, Emelyiğit
PY  - 2014
DA  - December
Y2  - 2014
JF  - Harran Üniversitesi Tıp Fakültesi Dergisi
PB  - Harran Üniversitesi
WT  - DergiPark
SN  - 1304-9623
SP  - 217
EP  - 222
VL  - 11
IS  - 3
LA  - tr
AB  - Amaç: Diabetik polinöropatili (DPN) hastalarda karpal tünel sendromu (KTS) teşhisinde el bileği B mod ve dopplerultrasonografisinin diagnostik değerini araştırmak amaçlanmıştır.Materyal ve metod: Klinik muayene ve elektrofizyolojik inceleme ile DPN tanısı almış 21 hasta, KTS grubu (20 el) vekontrol grubu (22 el) olarak iki gruba ayrıldı. Median sinir kesit alanı (MSA) ve düzleşme oranı, karpal tünel girişi[proksimal (p)] ve bilek kıvrımı [distal (d)] düzeylerden ölçüldü. Renkli Doppler ultrason incelemesindeher iki elnötral pozisyonda iken radial ve ulnar arterler yüksek rezolüsyonlu 12 MHz transduser (Logic 7)ile değerlendirildi.Bulgular: Gruplar arası karşılaştırmada KTS grubunda, kontrol grubuna göre proksimal ve distal düzeyden ölçülenMSAdeğerleri anlamlı olarak daha büyük bulundu (Sırasıyla, p=0.006, p=0.002). Gruplar arası karşılaştırmada her ikiradial ve ulnar arter akım karakteristiklerinde farklılık yoktu (p>0.05). ROC eğrisi analizinde KTS tanısındaki eşikdeğer MSA-p ≥ 12.5 mm2 (ROC eğrisinin altında kalan alan (AUC) 0.73; duyarlılığı %60 ve özgüllüğü %78) ve MSAd ≥ 13.5 mm2 (AUC 0.75; duyarlılık %65 ve özgüllük %87)olarak bulundu.Sonuç: Diabetik polinöropati ile eş zamanlı KTS geliştiği düşünülen hastalarda el bileği ultrasonografisi diagnostikbir modalite olabilir. 
KW  - Karpal tünel sendromu
KW  - median sinir
KW  - ultrasonografi
N2  - Background: The diagnostic value of B-mode and Doppler ultrasonography of the wrist in the diagnosis of carpaltunnel syndrome (CTS) in patients with diabetic polyneuropathy (DPN) was aimed to investigate.Materials and Methods: 21 patients, who were diagnosed DPN with clinical examination and electrophysiologicalstudy, were divided into two groups: CTS group (20 hands) and control group (22 hands). The median nerve crosssectional area (MSA) and flattening ratio of the median nerve were measured at the level of carpal tunnel entrance[proximal (p)] and the wrist crease [distal (d)]. In color Doppler ultrasound examination, radial and ulnar arteries wereevaluated with high resolution 12 MHz transducer (Logic 7) while both hands were in neutral position. Results: In comparison between groups, in the CTS group MSE values, measured at the proximal and distal levels,were significantly higher than control group (respectively, p=0.006, p=0.002). In comparison between groups, bothradial and ulnar artery flow characteristics did not differ (p>0.05). With the ROC curve analysis, the threshold value inthe diagnosis of CTS was found as MSA-p ≥ 12.5 mm2 (area under the ROC curve (AUC) 0.73; sensitivity 60% andspecificity 78%) and MSA-d ≥ 13.5 mm2 (AUC 0.75; sensitivity 65% and specificity 87%).Conclusions: Wrist ultrasonography may be a diagnostic modality in patients with diabetic polyneuropathy when it issuspected concurrent CTS. 
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UR  - https://dergipark.org.tr/tr/pub/hutfd/issue//512422
L1  - https://dergipark.org.tr/tr/download/article-file/625665
ER  -