Klenerman P, Hammond C, Kulkarni V N, Mehta J M
Oxford University Medical School.
Indian J Lepr. 1990 Oct-Dec;62(4):422-8.
The extent of loss of vibration and pressure sensations was assessed in 21 leprosy patients with disintegration of the tarsus. Feet which had and did not have tarsal disintegration both showed severe impairment of pressure sensation, but the loss of vibration sense was more severe in feet which had undergone the destructive process. It appears that loss of deep sensation is an important factor in the process of tarsal disintegration in feet which are already anaesthetic. Measurement of vibration sense using a biosthesiometer may be a valuable clinical test in the investigation and follow-up of the patient with the insensitive foot to identify those at risk of developing tarsal disintegration.
对21例跗骨破坏的麻风患者进行了振动觉和压觉丧失程度的评估。有跗骨破坏和无跗骨破坏的足部均显示出严重的压觉损害，但在经历了破坏过程的足部，振动觉丧失更为严重。似乎深部感觉丧失是已出现麻木的足部跗骨破坏过程中的一个重要因素。使用生物感觉测量仪测量振动觉可能是一项有价值的临床检查，可用于对感觉迟钝足部患者进行调查和随访，以识别有发生跗骨破坏风险的患者。
