Sivri A, Celiker R, Sungur C, Kutsal Y G
Hacettepe University, Dept. of Physical Medicine and Rehabilitation, Ankara, Turkey.
Scand J Rheumatol. 1994;23(5):287-90. doi: 10.3109/03009749409103731.
In order to assess the prevalence of the carpal tunnel syndrome (CTS) suggestive of beta 2 microglobulin amyloid deposit in patients undergoing hemodialysis with cuprophan and acetate membrane, we studied 30 patients who had been receiving hemodialysis for varying lengths of time. Besides a standard physical and rheumatological examination, nerve conduction velocity studies were done in median and ulnar motorsensory nerves. 12 patients had normal findings, 12 had CTS (9 pure CTS, 3 with neuropathy), and 9 had peripheral neuropathy. Nerve dysfunction was independent of the disease underlying renal failure, the side of the dialysis access shunt and factors such as age and sex. We suggest that hemodialysis patients need frequent EMG analysis to identify CTS early and to avoid irreversible nerve damage.
为了评估使用铜仿膜和醋酸盐膜进行血液透析的患者中提示β2微球蛋白淀粉样沉积的腕管综合征（CTS）的患病率，我们研究了30例接受血液透析不同时长的患者。除了标准的体格检查和风湿病学检查外，还对正中神经和尺神经的运动感觉神经进行了神经传导速度研究。12例患者检查结果正常，12例患有CTS（9例为单纯CTS，3例伴有神经病变），9例患有周围神经病变。神经功能障碍与肾衰竭的基础疾病、透析通路分流的部位以及年龄和性别等因素无关。我们建议血液透析患者需要频繁进行肌电图分析，以便早期识别CTS并避免不可逆的神经损伤。
