腕管综合征患者的神经电生理分析

目的：探讨腕管综合征（CTS）患者神经电生理检测的临床诊断价值。方法：观察50例腕管综合征患者的神经电生理检测结果之间的关系。结果：50例腕管综合征患者76侧神经电生理做检测，正中神经SNAP传导异常为93．4％．正中神经SNCV传导异常为86．8％；尺神经SNAP传导异常为10．5％；尺神经SNCV传导异常为5_3％；腕部刺激拇短展肌DML传导异常为71．1％，小指展肌DML传导异常为1．3％。大鱼际肌EMG传导异常为39．5％，小鱼际肌EMG传导异常为3．9％。正中神经与尺神经各项电生理检测结果阳性率比较，差异均有统计学意义（均P〈0．05）。结论：正中神经的神经电生理检测对CTS的诊断有重要价值，也是确定正中神经的损伤程度、判断腕管综合征预后的重要指标。

Clinical analysis of electro-neurophysiological study on carpal tunnel syndrome

Objective: To explore the clinical features in carpal tunnel syndrome and the value of electro-neurophysiological examination in the diagnosis.Methods: The clinical date and the results of electro-neurophysiological examination of 50 cases of carpal tunnel syndrome were retrospectively studied.Results: Testing 76 hands of 50 cases,the abnormal rate of median nerve SNAP was 93.4%,SNCV was 86.8%.The abnormal rate of ulnar nerve SNAP was 10.5%,SNCV was 5.3%,and 71.1% with neuron deficit in abductor pollicis br...