Ultrasonographic changes of the median nerve in patients with end-stage renal failure and comparing it with a control group

سال انتشار: 1403
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 66

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شناسه ملی سند علمی:

JR_RHRE-9-1_003

تاریخ نمایه سازی: 14 بهمن 1402

چکیده مقاله:

Carpal Tunnel Syndrome (CTS) is characterized by median nerve entrapment in the wrist. CTS is diagnosed by clinical symptoms, which are confirmed by electrodiagnostic studies. This study aimed to assess median nerve cross-sectional area and elastography in chronic hemodialysis patients. This case-control study was conducted on end-stage renal failure (ESRD) patients undergoing hemodialysis at Rasool Akram Hospital's Dialysis Unit. The healthy companions of the patients were included as control group. An experienced rheumatologist used a supersonic device with linear array probes and dynamic scanners (۵-۲۲ MHz) to perform the sonography. The current study was conducted on both hands. There was no statistically significant difference between ۳۰ patients and ۳۰ healthy individuals regarding age, weight, and body mass index. The cross-sectional area of median nerve in both hands was increased in the dialysis group compared to the control group. However, it was significantly higher in the patient group's right hand than in the control group (P = ۰.۰۳۱). Considering the causes of ESRD and parathormone levels, the cross-sectional area and mean right and left median nerve elastography were not different between the two groups. The results showed that the patient group had a larger right and left median nerve cross-sectional area than the control group. However, the median nerve elastographic indices did not differ between dialysis patients and healthy individuals.

کلیدواژه ها:

Median Nerve ، Cross- section area of median nerve ، Elastography ، Chronic hemodialysis ، Ultrasonography

نویسندگان

Nahid Kianmehr

Department of Rheumatology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran

Leila Mahdipour

Department of internal medicine , School of Medicine, Iran University of Medical Sciences, Tehran, Iran

anousheh haghighi

Department of Rheumatology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.

Ali Sepyani

Medical student, School of medicine, Islamic Azad University of Medical Science, Tehran branch.

Tayeb Ramim

Department of Health Information Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.

Usef Kheiri

Resident of Internal Medicine , Rasool Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.

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