CARPAL　TUNNEL　SYNDROME：ETIOLOGICAL，CLINICAL　AND　ELECTROPHYSIOLOGICAL　ASPECTS　OF　262　CASES  

作　　者：卢祖能 汤晓芙 

出　　处：《Chinese Medical Sciences Journal》1995年第2期100-104,共5页中国医学科学杂志（英文版）

摘　　要：Two hundred and sixty-two patients with carpal tunnel syndrome (CTS) were analyzed retrospectively. Results showed that middle-and older-age women were more apt to have CTS than men, and that the dominant hand was more frequently affected. Hormonal changes , repetitive and forceful movements, awkward positions of hand and wrist, and other factors may be associated with CTS. Typical clinical manifestations include pain and paresthesia in the median nerve territory, worsening at night or in the early morning , and being relieved by shaking the hand. Although the patients may localize the discomfort beyond the territory, sensory changes are variable and not entirely reliable. Conduction abnormalities often appeared selectively in the median nerve distal to the wrist in CTS. If the patient who is clinically suggestive of CTS shows normal conduction with conventional methods, palmar stimulation and inching technique is recommended. The diagnosis of CTS requires confirmation of illness history, symptoms and signs with objective electrodiagnostic tests.

关 键 词：carpal tunnel syndrome ELECTRODIAGNOSIS 

分 类 号：R681.7[医药卫生—骨科学]