肘管综合征与尺管综合征的神经电生理比较研究  

Comparative study on cubital tunnel syndrome and ulnar tunnel syndrome of nerve electro- physiology

作　　者：刘英[1] 邹艺[1] 李素荣[1] 胥勋成[1] 

机构地区：[1]四川省医学科学院·四川省人民医院神经内科,四川成都610072

出　　处：《癫痫与神经电生理学杂志》2015年第5期257-259,265,共4页Journal of Epileptology and Electroneurophysiology(China)

摘　　要：目的：探讨神经电生理在肘管综合征（CUTS）与腕尺管综合征（UTS）诊断及鉴别诊断中的意义。方法：对30例35侧肢体经临床初步诊断为CuTS的患者以及5例UTS患者进行神经肌电图检测及分析。结果：30例35侧肢体的CuTS主要表现为尺神经运动肘段运动传导速度（MCV）减慢及复合肌动作电位（CMAP）波幅下降28例和未引出7条；前臂神经干电位MCV减慢29条和未引出6条；尺神经手背支感觉传导速度（SCV）减慢及感觉神经动作电位（sNAP）波幅下降27条和未引出8条。CuTS尺神经运动肘段、前臂神经干电位、尺神经手背支SCV和SNAP属正常范围，仅见背侧第一骨间肌呈失神经损害及腕一第1骨间肌的运动潜伏期延长。结论：神经肌电图检查是诊断和鉴别诊断CuTS和UTS的可靠手段，从而指导临床进一步的治疗具有重要意义。Objective：To explore the significance of nerve electrophysiology in cubital tunnel syn- drome（CuTS） and ulnar tunnel syndrome（UTS） in diagnosis and differential diagnosis. Methods：35 side limbs of 30 cases with CuTS and 5 cases with UTS neuromuscular electrical diagram were tested and ana- lyzed. Results：In 35 side limbs of 30 cases with CuTS there were 28 cases whose motor nerve conduction velocity（MCV） in the elbon slowed down and compound nerve action potentiat （CMAP） decreased and those in 7 cases were not led out;those in 8 cases were nerve hunk potential MCV in forearms sloweed down in 29 cases and those not led out in 6; Ulnar nerves with uand back sensory nerve conduction veloc- ity （SCV）and sensory nerve action potential（SNAP） amplitudes declined in 27 cases and not led out . UTS motion elbow,forearm ulnar trunk potential,and ulnar nerves with hand back SNAP were normal, just thenerves of side the first interosseous muscle were found damaged and interosseous muscle move- ment of wrist-1 latency extended. Conclusion：Neuromuscular electrical diagram is the diagnosis and differ- ential diagnosis for CuTS and UTS and it can guide clinical further treatment.

关 键 词：神经电生理 肘管综合征(CuTS) 腕尺管综合征(UTS) 诊断 鉴别诊断 

分 类 号：R745[医药卫生—神经病学与精神病学] R741.044[医药卫生—临床医学]