| 腕管综合征与尺神经腕部卡压相关性的神经电生理学分析 |
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| 引用本文： | 刘晓琳,殷文靖,盛加根.腕管综合征与尺神经腕部卡压相关性的神经电生理学分析[J].上海交通大学学报(医学版),2011,31(7):988-991. |
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| 作者姓名： | 刘晓琳 殷文靖 盛加根 |
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| 作者单位： | 上海交通大学附属第六人民医院骨科,上海,200233 |
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| 摘 要： | 目的采用神经电生理学方法探讨腕管综合征(CTS)与尺神经腕部卡压的相关性。方法选择20例(22腕)CTS患者(CTS组)和20名(20腕)健康成年志愿者(对照组),测量并比较两组正中神经和尺神经感觉传导速度、运动传导速度、感觉远端潜伏期和运动远端潜伏期,计算并比较正中神经与尺神经感觉远端潜伏期差值,对CTS组正中神经与尺神经感觉传导速度行Pearson相关分析。结果与对照组比较,CTS组正中神经感觉和运动传导速度及尺神经感觉传导速度均较慢(P<0.05或P<0.01),尺神经感觉远端潜伏期较长(P<0.05);两组尺神经运动传导速度及其运动远端潜伏期比较差异无统计学意义(P>0.05);CTS组正中神经与尺神经感觉远端潜伏期差值显著大于对照组(P<0.05)。Pearson相关分析显示:CTS组正中神经与尺神经感觉传导速度呈显著正相关(r=0.802,P=0.002)。结论 CTS与尺神经腕部卡压存在相关性,对CTS患者诊治时应充分考虑尺神经卡压并存的可能性。
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| 关 键 词： | 腕管综合征 正中神经 尺神经 卡压 |
Electrophysiological analysis of relationship between carpal tunnel syndrome and ulnar nerve entrapment at wrist |
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| LIU Xiao-lin,YIN Wen-jing,SHENG Jia-gen.Electrophysiological analysis of relationship between carpal tunnel syndrome and ulnar nerve entrapment at wrist[J].Journal of Shanghai Jiaotong University:Medical Science,2011,31(7):988-991. |
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| Authors: | LIU Xiao-lin YIN Wen-jing SHENG Jia-gen |
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| Institution: | LIU Xiao-lin,YIN Wen-jing,SHENG Jia-gen(Department of Orthopedics,the Sixth People's Hospital,Shanghai Jiaotong University,Shanghai200233,China) |
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| Abstract: | Objective To investigate the relationship between carpal tunnel syndrome(CTS) and ulnar nerve entrapment at wrist with neural electrophysiological methods. Methods Twenty patients(22 wrists) with CTS(CTS group) and 20 healthy adults(20 wrists)(control group) were selected.Sensory conduction velocity,motor conduction velocity,distal sensory latency and distal motor latency of median nerve and ulnar nerve were measured and compared between two groups,and the differences in distal sensory latency between media... |
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| Keywords: | carpal tunnel syndrome median nerve ulnar nerve entrapment |
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