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腕管综合征中顺向和逆向感觉神经传导速度测量的比较。

Comparison of orthodromic and antidromic sensory nerve conduction velocity measurements in the carpal tunnel syndrome.

作者信息

Tackmann W, Kaeser H E, Magun H G

出版信息

J Neurol. 1981;224(4):257-66. doi: 10.1007/BF00313289.

DOI:10.1007/BF00313289
PMID:6162927
Abstract

Orthodromic and antidromic nerve conduction velocities were determined in sensory median nerve fibres from digit to palm and from palm to wrist in patients with the carpal tunnel syndrome. In a large number of subjects the carpal tunnel syndrome could be detected only when the palm-to-wrist segment was investigated. Comparison of the results of the corresponding orthodromic and antidromic nerve conduction velocity measurements along the different segments revealed no significant disadvantages for the antidromic method. This technique should be given preference to the orthodromic method since it is easier.

摘要

在患有腕管综合征的患者中,测定了从手指到手掌以及从手掌到腕部的感觉正中神经纤维的顺向和逆向神经传导速度。在大量受试者中,仅在研究从手掌到腕部的节段时才能检测到腕管综合征。对沿不同节段相应的顺向和逆向神经传导速度测量结果进行比较,结果显示逆向法并无明显劣势。由于逆向法更简便,因此相较于顺向法,应优先选用该技术。

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本文引用的文献

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[DIAGNOSTIC PROBLEMS IN THE CARPAL--TUNNEL SYNDROME].[腕管综合征的诊断问题]
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NERVE FIBRE SIZE IN THE CARPAL TUNNEL SYNDROME.腕管综合征中的神经纤维大小
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Sensory nerve action potentials in patients with peripheral nerve lesions.周围神经病变患者的感觉神经动作电位
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Diagnostic specificity of sensory and motor nerve conduction variables in early detection of carpal tunnel syndrome.感觉和运动神经传导变量在腕管综合征早期检测中的诊断特异性
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Sensory conduction from digit to palm and from palm to wrist in the carpal tunnel syndrome.腕管综合征中从手指到手掌以及从手掌到手腕的感觉传导
J Neurol Neurosurg Psychiatry. 1971 Jun;34(3):243-52. doi: 10.1136/jnnp.34.3.243.
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Electrophysiological findings in entrapment of the median nerve at wrist and elbow.腕部和肘部正中神经卡压的电生理表现
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Z Neurol. 1974 Mar 29;206(3):267-84.
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A method for determining median nerve conduction velocity across the carpal tunnel.
J Neurol Sci. 1978 Aug;38(1):1-10. doi: 10.1016/0022-510x(78)90240-x.
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The carpal tunnel syndrome: localization of conduction abnormalities within the distal segment of the median nerve.腕管综合征:正中神经远段传导异常的定位
Brain. 1979 Sep;102(3):619-35. doi: 10.1093/brain/102.3.619.