Banach Marta, Juranek Judyta, Stanisz Andrzej
Przegl Lek. 2015;72(6):282-5.
The diagnosis of patients with severe carpal tunnel syndrome (CTS) who do not respond to median nerve stimulation and of those with early CTS who report symptoms but show no abnormalities in standard tests is the most challenging. The aim of the study was to assess correlations between the 2LI-DML test and standard tests used for the diagnosis of CTS (SL-D2, DML-APB, D4M-D4U). The study involved 172 patients (253 nerves) with clinical symptoms of CTS. The sensitivity of the 2LI-DML test and standard tests was analyzed in 6 groups of patients classified according to the severity of CTS, assessed by an electrophysiological study. We showed a significant relationship between the results of the 2LI-DML test and those of standard tests (SL-D2, DML-APB, D4M-D4U), as revealed by a topographic analysis of sensory and motor fibers of the median nerve at the site most vulnerable to compression.
对于对正中神经刺激无反应的重度腕管综合征（CTS）患者以及报告有症状但在标准检查中未显示异常的早期CTS患者进行诊断是最具挑战性的。本研究的目的是评估2LI-DML检查与用于诊断CTS的标准检查（SL-D2、DML-APB、D4M-D4U）之间的相关性。该研究纳入了172例有CTS临床症状的患者（253条神经）。根据电生理研究评估的CTS严重程度，将患者分为6组，分析了2LI-DML检查和标准检查的敏感性。通过对正中神经在最易受压部位的感觉和运动纤维进行地形图分析，我们发现2LI-DML检查结果与标准检查（SL-D2、DML-APB、D4M-D4U）结果之间存在显著关系。
