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[运动纤维在肘部尺神经综合征中的受累情况]

[Involvement of motor fibers in the ulnar nerve syndrome at the elbow].

作者信息

Khater-Boidin J, Duron B

出版信息

Rev Electroencephalogr Neurophysiol Clin. 1986 Jul;16(2):141-52. doi: 10.1016/s0370-4475(86)80006-5.

DOI:10.1016/s0370-4475(86)80006-5
PMID:3020649
Abstract

In order to improve the diagnosis of the ulnar nerve neuropathy at the elbow, we have retrospectively analysed the data obtained in the course of the electrophysiological examinations of the ulnar nerve motor component in three groups of adult subjects of both sexes (210 control subjects; 111 patients with more or less marked clinical symptoms suggestive of ulnar nerve neuropathy; 21 patients who after our investigation have undergone an operation for an ulnar nerve neuropathy at the elbow). The comparison of the data obtained in the three groups permits us to propose the following parameters as signs of ulnar neuropathy at the elbow: the proximal conduction time (stimulation in the axilla) greater than or equal to 12 msec for males and greater than or equal to 11 msec for females; motor conduction velocity of ulnar motor nerve fibers at the arm comprise in the range of normal values and similar to that measured on the contralateral ulnar nerve; conduction velocity of ulnar nerve motor fibers when it is measured on all the length of the upper limb less than 45 m/sec-1 (males) or less than 50 m/sec-1 (females).

摘要

为了提高肘部尺神经病变的诊断水平,我们回顾性分析了三组成年男女受试者尺神经运动成分电生理检查过程中获得的数据(210名对照受试者;111名有或多或少明显临床症状提示尺神经病变的患者;21名经我们调查后接受肘部尺神经病变手术的患者)。三组数据的比较使我们能够提出以下参数作为肘部尺神经病变的体征:男性近端传导时间(腋窝刺激)大于或等于12毫秒,女性大于或等于11毫秒;手臂尺神经运动纤维的运动传导速度在正常值范围内且与对侧尺神经测量值相似;上肢全长测量时尺神经运动纤维的传导速度小于45米/秒(男性)或小于50米/秒(女性)。

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Rev Electroencephalogr Neurophysiol Clin. 1986 Jul;16(2):141-52. doi: 10.1016/s0370-4475(86)80006-5.
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