Spindler H A, Dellon A L
J Hand Surg Am. 1982 May;7(3):260-3. doi: 10.1016/s0363-5023(82)80176-7.
This paper compares the results of detailed sensibility testing with nerve conduction studies done in patients with carpal tunnel syndrome. Forty-three patients with 74 symptomatic hands were examined. Median and ulnar distal sensory and motor latencies were obtained bilaterally. Sensibility testing included assessment of perception of vibratory stimuli, classic two-point discrimination, and moving two-point discrimination. Comparison of the results were made in the overall group of patients, and patients were also grouped according to the severity of symptoms. In the 74 hands, nerve conduction studies were abnormal in 81% and sensory examination was abnormal in 66%, for an overall combined abnormality rate of 92%. In the most severely involved hands, both nerve conduction and sensory testing were abnormal in approximately 80%. However, in the least severely involved group, nerve conduction studies were abnormal in 80%. However, in the least severely involved group, nerve conduction studies were abnormal in 80%, while sensory examination was abnormal in only 10%.
本文比较了腕管综合征患者详细感觉测试结果与神经传导研究结果。对43例患者的74只患手进行了检查。双侧测量正中神经和尺神经的远端感觉及运动潜伏期。感觉测试包括振动刺激感知评估、经典两点辨别和动态两点辨别。对所有患者进行了结果比较，患者还根据症状严重程度进行了分组。在这74只手中，81%的神经传导研究异常，66%的感觉检查异常，总体综合异常率为92%。在受累最严重的手中，神经传导和感觉测试异常率均约为80%。然而，在受累最轻的组中，80%的神经传导研究异常，而感觉检查仅10%异常。
