\u8155\u7ba1\u662f\u7531\u8155\u9aa8\u53ca\u8155\u6a2a\u97e7\u5e26\u6784\u6210\u7684\u9aa8-\u7ea4\u7ef4\u6027\u901a\u9053\uff0c\u5176\u4e2d\u7684\u6b63\u4e2d\u795e\u7ecf\u56e0\u5404\u79cd\u539f\u56e0\u53d7\u5230\u538b\u8feb\u5f15\u8d77\u624b\u6307\u9ebb\u6728\u3001\u65e0\u529b\u7b49\u795e\u7ecf\u75c7\u72b6\u5373\u4e3a\u8155\u7ba1\u7efc\u5408\u5f81\uff08CTS\uff09\uff0c\u662f\u5404\u7c7b\u5468\u56f4\u795e\u7ecf\u5361\u538b\u5bfc\u81f4\u7684\u75be\u75c5\u4e2d\u6700\u5e38\u89c1\u7684\u4e00\u79cd\u3002<\/p>\n
\u636e\u4e0d\u5b8c\u5168\u7edf\u8ba1\uff0c\u53d1\u75c5\u7387\u5927\u6982\u4e3a276\/10\u4e07\uff0c\u5176\u4e2d50%\u4e3a\u4e2d\u8001\u5e74\u4eba\uff0c\u4e14\u5973\u6027\u5c45\u591a\u3002<\/p>\n
CTS\u5178\u578b\u7684\u4e34\u5e8a\u8868\u73b0\u6b63\u4e2d\u795e\u7ecf\u652f\u914d\u533a\u7684\u9ebb\u6728\u3001\u75bc\u75db\u7b49\uff1b<\/p>\n
\u4e25\u91cd\u8005\u53ef\u51fa\u73b0\u591c\u95f4\u75c7\u72b6\u52a0\u91cd\u3001\u5f71\u54cd\u7761\u7720\uff1b<\/p>\n
\u75c5\u53d8\u665a\u671f\u4f1a\u51fa\u73b0\u62c7\u6307\u5bf9\u638c\u65e0\u529b\uff0c\u5927\u9c7c\u9645\u808c\u840e\u7f29\u7b49\u3002<\/p>\n
\u56e0\u4e3a\u808c\u8089\u840e\u7f29\u4e0d\u53ef\u9006\u8f6c\uff0c\u6240\u4ee5\u65e9\u671f\u8bca\u65ad\u3001\u53ca\u65f6\u6cbb\u7597\u5c24\u4e3a\u5173\u952e\u3002<\/p>\n
\u4e00\u3001\u75c5\u56e0<\/p>\n
1.\u5916\u6e90\u6027\u538b\u8feb<\/p>\n
\u8155\u6a2a\u97e7\u5e26\u7684\u97e7\u6027\u8f83\u5927\uff0c\u56e0\u6b64\u6765\u81ea\u8155\u7ba1\u8868\u9762\u7684\u538b\u8feb\u5bfc\u81f4\u7684\u795e\u7ecf\u75c7\u72b6\u5728\u4e34\u5e8a\u4e0a\u8f83\u4e3a\u5c11\u89c1\u3002<\/p>\n
\u5f53\u638c\u5c48\u8155\u5173\u8282\u65f6\uff0c\u6b63\u4e2d\u795e\u7ecf\u4f1a\u76f8\u5e94\u53d7\u5230\u538b\u8feb\uff0c\u6b64\u65f6\u7528\u529b\u63e1\u62f3\uff0c\u8155\u7ba1\u538b\u529b\u589e\u5927\uff0c\u795e\u7ecf\u538b\u8feb\u4f1a\u8fdb\u4e00\u6b65\u52a0\u91cd\u3002<\/p>\n
2.\u7ba1\u8154\u672c\u8eab\u53d8\u5c0f<\/p>\n
\u8155\u6a2a\u97e7\u5e26\u589e\u539a\u6216\u8155\u7ba1\u72ed\u7a84\u662f\u5176\u4e3b\u8981\u539f\u56e0\u3002<\/p>\n
\u521b\u4f24\u540e\u7622\u75d5\u5f62\u6210\u3001\u5185\u5206\u6ccc\u75c5\u53d8\u7b49\u5747\u53ef\u80fd\u9020\u6210\u8155\u6a2a\u97e7\u5e26\u589e\u539a\uff1b\u5c24\u5176\u662f\u7cd6\u5c3f\u75c5\u75c5\u4eba\uff0c\u53d1\u751fCTS\u7684\u503e\u5411\u8f83\u9ad8\u3002<\/p>\n
\u800c\u8155\u7ba1\u72ed\u7a84\u4e3b\u8981\u56e0\u8155\u90e8\u9aa8\u6298\u3001\u8131\u4f4d\u7b49\u539f\u56e0\u5bfc\u81f4\uff08\u516c\u4f17\u53f7\uff1a\u75bc\u75db\u5eb7\u590d\u7814\u7a76\uff09\u3002<\/p>\n
3.\u7ba1\u8154\u5185\u5bb9\u7269\u4f53\u79ef\u589e\u5927\u3001\u6570\u91cf\u589e\u591a<\/p>\n
\u8155\u7ba1\u5185\u7684\u75c5\u7406\u6027\u6539\u53d8\uff08\u5982\u5e38\u89c1\u7684\u8171\u9798\u56ca\u80bf\u7b49\uff09\uff0c\u6216\u8155\u7ba1\u5185\u5bb9\u7269\u51fa\u73b0\u751f\u7406\u6027\u6539\u53d8\uff0c\u90fd\u5c06\u5360\u636e\u8155\u7ba1\u5bb9\u79ef\uff0c\u4f7f\u7ba1\u8154\u5185\u5bb9\u79ef\u53d8\u5c0f\uff0c\u800c\u4f7f\u8155\u7ba1\u5185\u5404\u79cd\u6b63\u5e38\u7ed3\u6784\u53d7\u5230\u76f8\u4e92\u6324\u538b\uff0c\u800c\u538b\u8feb\u6b63\u4e2d\u795e\u7ecf\u3002<\/p>\n
4.\u804c\u4e1a\u56e0\u7d20<\/p>\n
\u6162\u6027\u6b63\u4e2d\u795e\u7ecf\u635f\u4f24\u4e5f\u6781\u6613\u56e0\u8155\u5173\u8282\u53cd\u590d\u7684\u8fc7\u5ea6\u638c\u5c48\u3001\u80cc\u4f38\u5f15\u8d77\u3002<\/p>\n
Kozak\u7b49\u5728\u7814\u7a76\u4e2d\u53d1\u73b0\uff0c\u5728\u8155\u90e8\u7ecf\u5e38\u53cd\u590d\u8fc7\u5ea6\u7528\u529b\u7684\u804c\u4e1a\u4eba\u7fa4\u4e2d\uff0cCTS\u7684\u60a3\u75c5\u7387\u8f83\u5176\u4ed6\u804c\u4e1a\u8005\u663e\u8457\u589e\u52a0\uff0c\u5982\u6728\u5de5\u3001\u5c60\u592b\u3001\u53a8\u5de5\u7b49\u3002<\/p>\n
\u4e8c\u3001\u75c5\u7406\u751f\u7406\u5b66<\/p>\n
\u8155\u7ba1\u7efc\u5408\u5f81\uff08CTS\uff09\u662f\u8155\u7ba1\u5185\u538b\u529b\u589e\u52a0\u3001\u6b63\u4e2d\u795e\u7ecf\u5fae\u5faa\u73af\u635f\u4f24\u3001\u6b63\u4e2d\u795e\u7ecf\u7ed3\u7f14\u7ec4\u7ec7\u53d7\u538b\u548c\u6ed1\u819c\u7ec4\u7ec7\u80a5\u5927\u7b49\u591a\u79cd\u673a\u5236\u76f8\u4e92\u4f5c\u7528\u7684\u7ed3\u679c\u3002<\/p>\n
\u7275\u5f15\u3001\u538b\u8feb\u795e\u7ecf\u75c5\u53d8\u548c\u5f02\u5e38\u9ad8\u7684\u8155\u7ba1\u538b\u529b\u6700\u6709\u53ef\u80fd\u8bf1\u53d1CTS\u3002<\/p>\n
\u6b63\u4e2d\u795e\u7ecf\u53d7\u538b\u662fCTS\u7684\u6839\u672c\u539f\u56e0\uff0c\u4e3b\u8981\u7531\u591a\u79cd\u539f\u56e0\u5bfc\u81f4\u8155\u7ba1\u5185\u538b\u529b\u589e\u5927\u5f15\u8d77\uff08\u516c\u4f17\u53f7\uff1a\u75bc\u75db\u5eb7\u590d\u7814\u7a76\uff09\u3002<\/p>\n
\u8155\u7ba1\u5185\u5bb9\u7269\u4f53\u79ef\u7684\u53d8\u5927\u6216\u6570\u91cf\u7684\u53d8\u591a\uff0c\u4f7f\u8155\u7ba1\u5185\u7684\u7a7a\u95f4\u76f8\u5bf9\u51cf\u5c11\u662f\u8155\u7ba1\u5185\u538b\u529b\u589e\u5927\u7684\u4e3b\u8981\u539f\u56e0\uff0c\u4e5f\u53ef\u80fd\u9020\u6210\u6b63\u4e2d\u795e\u7ecf\u5fae\u5faa\u73af\u635f\u4f24\u3002<\/p>\n
\u8155\u7ba1\u5185\u5176\u4ed6\u7ec4\u7ec7\u5982\u758f\u677e\u7ed3\u7f14\u7ec4\u7ec7\u3001\u808c\u8171\u7b49\u4e5f\u53ef\u80fd\u76f4\u63a5\u5bf9\u6b63\u4e2d\u795e\u7ecf\u4ea7\u751f\u538b\u8feb\u3002<\/p>\n
\u4e09\u3001\u8bca\u65ad<\/p>\n
1.\u4e34\u5e8a\u8868\u73b0<\/p>\n
\u4e2d\u5e74\u75c5\u4eba\uff0c\u5c24\u5176\u4ee5\u5973\u6027\u75c5\u4eba\u591a\u53d1\uff0c\u7537\u6027\u75c5\u4eba\u5e38\u5e38\u4f34\u6709\u804c\u4e1a\u75c5\u53f2\u3002<\/p>\n
30%\u4ee5\u4e0a\u7684CTS\u75c5\u4eba\u53cc\u4fa7\u5747\u6709\u6b63\u4e2d\u795e\u7ecf\u635f\u4f24\u75c7\u72b6\uff0c\u5176\u4e2d90%\u4e3a\u5904\u4e8e\u7edd\u7ecf\u671f\u7684\u4e2d\u5e74\u5973\u6027\u3002<\/p>\n
\u9996\u53d1\u75c7\u72b6\u4e3a\u6861\u4fa7\u4e09\u4e2a\u624b\u6307\u7aef\uff0c\u5c24\u5176\u662f\u4e2d\u6307\u7684\u9ebb\u6728\u6216\u75bc\u75db\uff0c\u6e05\u65e9\u6216\u665a\u4e0a\u75c7\u72b6\u52a0\u91cd\uff0c\u8fdb\u800c\u51fa\u73b0\u6301\u7269\u65e0\u529b\uff0c\u65e0\u6cd5\u6b63\u5e38\u7a7f\u978b\u53ca\u4f7f\u7528\u7b77\u5b50\uff0c\u751a\u81f3\u524d\u81c2\u4e5f\u4f1a\u51fa\u73b0\u7275\u6d89\u75db\u3002<\/p>\n
\u6709\u65f6\u53ef\u901a\u8fc7\u9002\u5f53\u6296\u52a8\u624b\u8155\u6682\u65f6\u51cf\u8f7b\u4e0a\u8ff0\u75c7\u72b6\u3002<\/p>\n
2.\u67e5\u4f53<\/p>\n
\u671b\uff1a\u5927\u9c7c\u9645\u808c\u840e\u7f29\u3002<\/p>\n
\u89e6\uff1a\u62c7\u3001\u793a\u3001\u4e2d\u6307\u6709\u611f\u89c9\u51cf\u9000\u3002<\/p>\n
\u52a8\uff1a\u62c7\u6307\u5bf9\u638c\u65e0\u529b\u3002<\/p>\n
\u91cf\uff1a\u8155\u90e8\u6b63\u4e2d\u795e\u7ecf Tinel \u5f81\u9633\u6027\u3002\u5c48\u8155\u8bd5\u9a8c\uff08Phalen\u5f81\uff09\u9633\u6027\u3002<\/p>\n
3.\u8f85\u52a9\u68c0\u67e5<\/p>\n
\uff081\uff09\u8155\u7ba1\u538b\u529b\u68c0\u6d4b <\/p>\n
\u8fd9\u662f\u65e9\u671f\u5e94\u7528\u4e8eCTS\u8bca\u65ad\u7684\u65b9\u6cd5\u3002<\/p>\n
\u6700\u65e9\u7531\u5916\u56fd\u5b66\u8005\u5728CTS\u5c31\u8bca\u65f6\u53ca\u672f\u4e2d\u677e\u89e3\u8155\u7ba1\u540e\uff0c\u5206\u522b\u505a\u8be5\u9879\u68c0\u67e5\u3002\u8fd1\u5e74\u6765\uff0c\u8be5\u68c0\u67e5\u65b9\u6cd5\u5728\u4e34\u5e8a\u4e0a\u7684\u5e94\u7528\u7387\u9010\u5e74\u964d\u4f4e\u3002<\/p>\n
\uff082\uff09\u795e\u7ecf\u7535\u751f\u7406\u68c0\u6d4b <\/p>\n
\u808c\u7535\u56fe\u662f\u76ee\u524d\u5728CTS\u8bca\u7597\u8fc7\u7a0b\u4e2d\u5e94\u7528\u8f83\u4e3a\u5e7f\u6cdb\u7684\u4e00\u79cd\u8f85\u52a9\u68c0\u67e5\uff0c\u80fd\u591f\u51c6\u786e\u8bc4\u4f30\u5468\u56f4\u795e\u7ecf\u7684\u635f\u4f24\u7a0b\u5ea6\uff0c\u662f\u5468\u56f4\u795e\u7ecf\u635f\u4f24\u8bca\u65ad\u7684\u91d1\u6807\u51c6 \uff08\u516c\u4f17\u53f7\uff1a\u75bc\u75db\u5eb7\u590d\u7814\u7a76\uff09\u3002<\/p>\n
\u73b0\u5df2\u4f5c\u4e3a\u6240\u6709\u6000\u7591\u5b58\u5728\u5468\u56f4\u795e\u7ecf\u635f\u4f24\u7684\u75c5\u4eba\u7684\u5fc5\u505a\u68c0\u67e5\u9879\u76ee\u3002<\/p>\n
\uff083\uff09\u5f71\u50cf\u8bca\u65ad\u6280\u672f <\/p>\n
\u5bf9\u4e8eCTS\u75c5\u4eba\u6765\u8bf4\uff0cMRI\u68c0\u67e5\u7684\u8bca\u65ad\u4ef7\u503c\u8f83\u9ad8\uff0cCT\u68c0\u67e5\u7684\u56fe\u50cf\u6e05\u6670\u5ea6\u66f4\u9ad8\u3002<\/p>\n
\u4f46\u5728\u4e34\u5e8a\u4e2d\uff0c\u65e0\u8bba\u662fMRI\u8fd8\u662fCT\u68c0\u67e5\u5747\u4e0d\u4f5c\u4e3aCTS\u7684\u5e38\u89c4\u68c0\u67e5\u65b9\u6cd5\u3002<\/p>\n
\uff084\uff09\u9ad8\u9891\u8d85\u58f0\u6280\u672f<\/p>\n
\u5728\u660e\u786e\u795e\u7ecf\u53d7\u538b\u90e8\u4f4d\u3001\u8fdb\u884c\u9274\u522b\u8bca\u65ad\u4ee5\u53ca\u9009\u62e9\u624b\u672f\u65b9\u5f0f\u4e0a\u80fd\u63d0\u4f9b\u8f83\u5927\u7684\u5e2e\u52a9\u3002<\/p>\n
4.\u9274\u522b\u8bca\u65ad<\/p>\n
\uff081\uff09\u9888\u690e\u75c5 <\/p>\n
\u5728\u795e\u7ecf\u6839\u578b\u9888\u690e\u75c5\u4e2d\uff0c\u7ec4\u6210\u6b63\u4e2d\u795e\u7ecf\u7684\u795e\u7ecf\u7ea4\u7ef4\u5728\u690e\u95f4\u5b54\u5185\u53d7\u5230\u5361\u538b\uff0c\u9888\u90e8\u75bc\u75db\u5e76\u5411\u53cc\u4e0a\u80a2\u653e\u5c04\u662f\u795e\u7ecf\u6839\u578b\u9888\u690e\u75c5\u7684\u4e3b\u8981\u4e34\u5e8a\u8868\u73b0\u3002<\/p>\n
\u82e5\u75c5\u4eba\u7684\u75c5\u53f2\u53ca\u4f53\u5f81\u4e0d\u80fd\u76f8\u4e92\u9274\u522b\uff0c\u5219\u53ef\u8fdb\u884c\u4e0a\u80a2\u808c\u7535\u56fe\u548c\u9888\u690e MRI \u4ee5\u660e\u786e\u8bca\u65ad\u3002<\/p>\n
\uff082\uff09\u80f8\u5ed3\u51fa\u53e3\u7efc\u5408\u5f81 <\/p>\n
\u8fd9\u662f\u7531\u4e8e\u81c2\u4e1b\u795e\u7ecf\u5728\u7ecf\u9888\u57fa\u90e8\u7a7f\u8fc7\u80f8\u5ed3\u51fa\u53e3\u8fdb\u5165\u9501\u9aa8\u4e0b\u65f6\uff0c\u53d7\u5230\u9888\u808b\u6216\u524d\u659c\u89d2\u808c\u7684\u80a5\u5927\u75c9\u631b\u7b49\u538b\u8feb\u9020\u6210\u3002<\/p>\n
\u901a\u5e38\u884c\u5305\u62ec\u589e\u538b\u5b9e\u9a8c\u53caAdson\u8bd5\u9a8c\u5728\u5185\u7684\u8bf1\u5bfc\u8bd5\u9a8c\u53ca\u9888\u690eX\u7ebf\u3001\u808c\u7535\u56fe\u68c0\u67e5\u7b49\u76f8\u5e94\u7684\u8bca\u65ad\u6027\u68c0\u67e5\u53ef\u660e\u786e\u9274\u522b\u3002<\/p>\n
\uff083\uff09\u65cb\u524d\u5706\u808c\u7efc\u5408\u5f81 <\/p>\n
\u7531\u4e8e\u7ec4\u6210\u6b63\u4e2d\u795e\u7ecf\u7684\u795e\u7ecf\u7ea4\u7ef4\u5728\u524d\u81c2\u8fd1\u4fa7\u53d7\u5230Struthers\u97e7\u5e26\uff0c\u65cb\u524d\u5706\u808c\uff0c\u7ea4\u7ef4\u675f\uff0c\u6307\u6d45\u5c48\u808c\u8fd1\u7aef\u5f13\u72b6\u7f18\u7b49\u7ec4\u7ec7\u7684\u5361\u538b\u9020\u6210\u3002<\/p>\n
\u56e0\u4e3aCTS\u795e\u7ecf\u652f\u914d\u533a\u7684\u75c5\u53d8\u8303\u56f4\u4e0e\u65cb\u524d\u5706\u808c\u7efc\u5408\u5f81\u795e\u7ecf\u652f\u914d\u533a\u7684\u75c5\u53d8\u8303\u56f4\u4e0d\u540c\uff0c\u6240\u4ee5\u808c\u7535\u56fe\u68c0\u67e5\u53ef\u660e\u786e\u9274\u522b\u3002<\/p>\n
\uff084\uff09\u90e8\u5206\u8001\u5e74\u75c5\u4eba\u53ef\u51fa\u73b0\u795e\u7ecf\u53cc\u5361\u7efc\u5408\u5f81\uff0c\u5373\u51fa\u73b0\u795e\u7ecf\u53cc\u91cd\u5361\u538b\uff0c\u5982\u9888\u690e\u75c5\u5408\u5e76\u8155\u7ba1\u7efc\u5408\u5f81\u3002<\/p>\n
\u56db\u3001\u5206\u578b<\/p>\n
\u6ee8\u7530\u6cd5\u5206\u578b<\/p>\n
\u2160\u578b\uff0c\u4ec5\u6b63\u4e2d\u795e\u7ecf\u652f\u914d\u533a\u76ae\u80a4\u611f\u89c9\u51cf\u9000\uff1b<\/p>\n
\u2161\u578b\uff0c\u6b63\u4e2d\u795e\u7ecf\u652f\u914d\u533a\u76ae\u80a4\u611f\u89c9\u51cf\u9000\u7684\u540c\u65f6\u51fa\u73b0\u5927\u9c7c\u9645\u808c\u840e\u7f29\uff1b<\/p>\n
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