腕管综合征279例神经电生理分析  

Electrophysiological study on 279 patients with carpal tunnel syndrome

作　　者：羊洁[1] 刘英[1] 邹艺[1] 李素荣[1] 胥勋成[1] 冯建华[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：《实用医院临床杂志》2016年第6期96-97,共2页Practical Journal of Clinical Medicine

摘　　要：目的探讨电生理检查指标在腕管综合征(CTS)诊断中的应用价值。方法以CTS患者279例为观察组,健康志愿者228例为对照组,行神经电生理检测。结果两组末梢运动潜伏期(DML)、复合肌肉动作电位(CMAP)波幅、前臂段运动传导速度(f MCV)、感觉神经动作电位(SNAP)波幅及腕-食指感觉传导速度(SCV)比较,差异均有统计学意义(P<0.05);尺神经电生理指标间差异均无统计学意义(P>0.05)。结论 CTS的诊断需要结合多项电生理检查指标以减少疾病的漏诊。Objective To evaluate the application value of the electrophysiological examination index in the diagnosis of carpal tunnel syndrome （ CTS） .Methods Total of 279 CTS patients were used as observation group and 228 healthy volunteers were served as control group.Routine nerve conduction studies were performed in the both groups.Results There were significant differences in distal motor lantency （ DML） ,compound muscle action potential （ CMAP） amplitude,forearm period of motor conduction velocity （ FM-CV）,sensory nerve action potential （SNAP） amplitude and finger-wrist sensory conduction velocity （SCV） between the two groups （P〈0.05） but not in ulnar nerve electrophysiology index （P 〉0.05）.Conclusion We need the combination of a number of electro-physiological parameters to improve the diagnostic technology of CTS.

关 键 词：腕管综合征 正中神经 运动神经传导 感觉神经传导 

分 类 号：R741.044[医药卫生—神经病学与精神病学]