H反射与腰骶神经根压迫症的定位诊断  被引量:1

H Reflex in the diagnosis of lumbosacral nerve root en-trapment

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作  者:王超[1] 党耕町[1] 

机构地区:[1]北京医科大学第三医院骨科

出  处:《中华外科杂志》1994年第1期41-42,共2页Chinese Journal of Surgery

摘  要:本文作者从103例正常受试者获得了H反射正常值的三元线性回归方程。并对26例通过手术治疗的腰骶神经根压迫症患者进行了H反射检查。与手术所见对比,H反射阳性率为89%。实验说明此三元线性回归方程是可靠的。AbstractThis arfticle was to obtain the normal values of Hreflex and verify its reliability. The normal values forthe H reflex were obtained from 103 healthy subjects.Statistical analysis was performed using stepwise re-gression, If the practical time interval H-M in ms washigher 1. 8ms than the estimate , this S_1 root was con-sidered as abnormality. According to this normal val-ue, we obtained 89% accuracy in 28 S_1 roots compres-sion when compared with operative findings. For thisgroup patients, the myelography achieved an accuracyof 86%, the accuracy of CT was 72%. The diagnosticindex of this diagnostic method was 176. Our investi-gation suggests that H reflex latency testing is a valu-able tool in helping to diagnosing S_1 root entrapment

关 键 词:腰骶部 H反射 神经根压迫症 诊断 

分 类 号:R681.570.4[医药卫生—骨科学]

 

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