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正中神经掌皮支与第一指掌侧总神经感觉神经传导比较:一种腕管综合征的新诊断方法。

Comparison of sensory nerve conduction in the palmar cutaneous branch and first digital branch of the median nerve: a new diagnostic method for carpal tunnel syndrome.

作者信息

Chang C W, Lien I N

机构信息

Department of Physical Medicine and Rehabilitation, National Taiwan University, College of Medicine, Taipei, ROC.

出版信息

Muscle Nerve. 1991 Dec;14(12):1173-6. doi: 10.1002/mus.880141205.

DOI:10.1002/mus.880141205
PMID:1766448
Abstract

Comparison of sensory nerve conductions in palmar cutaneous branch (PCB) and digit I nerves was applied in 50 patients suspected of having carpal tunnel syndrome (CTS) and 40 healthy persons. The abnormalities were defined as the differences in latencies and sensory nerve conduction velocities (SNCVs) of more than mean plus 2.5 SD of controls. Comparing these 2 sensory nerves, statistical differences were seen in 83.7% (36 of 43 patients) of their sensory latencies and 76.7% (33 of 43 patients) of their SNCVs. This excluded 7 patients who had unobtainable sensory nerve action potentials in digit I nerves. This method may serve as an adjunctive technique in the diagnosis of CTS. Its diagnostic sensitivity was high in comparison with other testing methods.

摘要

对50例疑似腕管综合征(CTS)患者和40名健康人进行了掌皮支(PCB)和示指神经感觉神经传导的比较。异常定义为潜伏期和感觉神经传导速度(SNCV)的差异超过对照组平均值加2.5个标准差。比较这两条感觉神经,在其感觉潜伏期的83.7%(43例患者中的36例)和SNCV的76.7%(43例患者中的33例)中发现了统计学差异。这排除了7例示指神经感觉神经动作电位无法获得的患者。该方法可作为CTS诊断的辅助技术。与其他检测方法相比,其诊断敏感性较高。

相似文献

1
Comparison of sensory nerve conduction in the palmar cutaneous branch and first digital branch of the median nerve: a new diagnostic method for carpal tunnel syndrome.正中神经掌皮支与第一指掌侧总神经感觉神经传导比较:一种腕管综合征的新诊断方法。
Muscle Nerve. 1991 Dec;14(12):1173-6. doi: 10.1002/mus.880141205.
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The median palmar cutaneous nerve in normal subjects and CTS.正常受试者和腕管综合征患者的掌正中皮神经
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引用本文的文献

1
Practical approach to electrodiagnosis of the carpal tunnel syndrome: A review.腕管综合征电诊断的实用方法:综述
Adv Biomed Res. 2015 Feb 17;4:50. doi: 10.4103/2277-9175.151552. eCollection 2015.
2
Neurophysiological classification of carpal tunnel syndrome: assessment of 600 symptomatic hands.腕管综合征的神经生理学分类:600例有症状手部的评估
Ital J Neurol Sci. 1997 Jun;18(3):145-50. doi: 10.1007/BF02048482.