神经传导速度测定技术对腕管综合征预后评价的研究  

Study on the Prognostic Evaluation of Carpal Tunnel Syndrome Using Nerve Conduction Velocity Measurement Technology

作　　者：刘吉凯 鲜航 梁卓文 张云霞 刘一博 韩瑾熙 王凯娟[1] 

机构地区：[1]郑州大学公共卫生学院,河南 郑州 [2]空军军医大学附属西京医院骨科,陕西 西安

出　　处：《临床医学进展》2024年第12期1294-1302,共9页Advances in Clinical Medicine

基　　金：国家自然科学基金项目(82302681)。

摘　　要：目的:探讨神经传导速度测定技术对中、重度腕管综合征患者预后的评价作用。方法:收集2020年12月至2024年3月在我院经手术治疗的腕管综合征患者77例(单侧53例,双侧24例,共101例手术),根据临床分型标准分为中度和重度。于术前、术后3个月及术后1年分别测定并记录患者患侧正中神经传导速度检查(nerve conduction study, NCS)各参数值和波士顿腕管量表(Boston carpal tunnel questionnaire, BCTQ)评分。结果:根据腕管综合征临床分型标准中度腕管综合征组患者55例,重度腕管综合征组患者46例;通过对正中神经传导速度检查各参数值及波士顿腕管量评分分析得出的数据表明,中度和重度患者在手术治疗后均得到显著改善(P 0.05),术后1年随访时感觉传导末端感觉潜伏期(distal sensory latency, DSL)及波士顿腕管量评分2组比较时差异无统计学意义(P > 0.05)。结论:腕管松解术可显著改善腕管综合征神经功能,中度好于重度,术后早期恢复至关重要。感觉传导末端潜伏期(DSL)可以作为评估CTS患者术后恢复的客观指标。Objective: To investigate the prognostic value of nerve conduction velocity measurement in patients with moderate to severe carpal tunnel syndrome. Methods: From December 2020 to March 2024, 77 patients with carpal tunnel syndrome (53 unilateral cases, 24 bilateral cases, a total of 101 operations) who underwent surgical treatment in our hospital were collected and divided into moderate and severe according to the clinical classification criteria. The parameters of nerve conduction study (NCS) and the score of Boston carpal tunnel questionnaire (BCTQ) were measured and recorded before operation, 3 months and 1 year after operation. Results: According to the clinical classification criteria of carpal tunnel syndrome, there were 55 patients in the moderate carpal tunnel syndrome group and 46 patients in the severe carpal tunnel syndrome group;the data obtained from the analysis

关 键 词：腕管综合征 腕管松解术 波士顿腕管量表 神经传导检查 

分 类 号：R73[医药卫生—肿瘤]