Lựa chọn bệnh nhân theo tiêu chuẩn lựa chọn và tiêu chuẩn
loại trừ
Tiến hành tiêm nong thần kinh giữa bằng corticoid dưới hướng
dẫn siêu âm
Đánh giá triệu chứng trên lâm sàng và trên siêu âm sau 4 tuần
và 12 tuần
CHƯƠNG 3
DỰ KIẾN KẾT QUẢ NGHIÊN CỨU 3.1. Đặc điểm lâm sàng của hôi chứng ống cổ tay
Bảng 3.1. tuổi giới bệnh nhân.
Nam Nữ P
Tỉ lệ theo giới Tuổi trung bình
Bảng 3.2. Nghề nghiệp
Nghề nghiệp N %
Lao động chân tay Lao động trí óc Tổng
Bảng 3.3. Tay bị bệnh.
Tổng số Phải Trái Hai tay
N
% (100)
Bảng 3.4. Các nguyên nhân.
Tổng số Vô căn Nội sinh Ngoại sinh
N
% (100)
Bảng 3.5. Các dấu hiệu lâm sàng
Điểm Boston Trước tiêm Sau tiêm 4 tuần
Sau tiêm 6
tháng P
chứng nghiêm trọng Điểm về trạng thái chức năng
Bảng 3.6. Các nghiệm pháp lâm sàng
Các dấu hiệu Trước tiêm Sau tiêm P
n % n % n %
Dấu hiệu Phalen Dấu hiệu Tinel
3.2. Về kích thước trung bình dây thần kinh giữa
Bảng 3.7. Đặc điểm siêu âm
Đoạn dây thần kinh giữa
Kích thước
Dây thần kinh giữa trước tiêm
Kích thước Dây thần kinh giữa
sau tiêm
Ngang cơ sấp vuông Sát bờ trước ống cổ tay Trong ống cổ tay Sát bờ sau ống cổ tay Bảng 3.8. Các tổn thương phối hợp Đặc điểm N % Không
Nang bao hoạt dịch Viêm bao gân Tràn dịch
Xung đột thần kinh cơ.
Bảng 3.9. Đặc điểm làm dẹt dây thần kinh giữa
Trước tiêm Sau tiêm P
Kích thước ngang dây TK giữa trung bình
Kích thước chiều trước – sau dây TK giữa trung bình Chỉ số dẹt dây TK giữa trung bình
CHƯƠNG 4 DỰ KIẾN BÀN LUẬN
DỰ KIẾN KẾT LUẬN
DỰ KIẾN KIẾN NGHỊ
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