神经肌电图检查对肘管综合征与腕尺管综合征鉴别诊断的价值

目的探讨神经肌电图检查在肘管综合征(CuTS)与腕尺管综合征(UTS)鉴别诊断中的应用价值。方法对35例单侧上肢临床症状、体征符合CuTS或UTS的患者进行尺神经、正中神经远端运动潜伏期(DML)、运动传导速度(MCV)、感觉传导速度(SCV)、波幅(AMP)及尺神经肘部寸移电位检测;尺神经、正中神经所支配的肌肉肌电图(EMG)检测。结果 35例患者中,CuTS 29例(83%),UTS 4例(11%),正常2例(6%),总异常率94%。结论神经肌电图检测可明确鉴别肘管综合征与腕尺管综合征,为临床诊断及治疗提供依据,有重要的临床应用价值。

The value of electromyography examination in the differential diagnosis of cubital tunnel syndrome and cubit tun-nel syndrome

Objective To investigate the application value of electromyography examination in the differential diagnosis of cubital tunnel syndrome (CuTS)and cubit tunnel syndrome (UTS).Methods A total of 35 cases suffering unilateral upper-ex-tremity symptoms and signs which met the diagnostic criteria of CuTS or UTS received electric potential examination which con-tained distal motor latency (DML)of ulmar nerve and median nerve,motor conduction velocity (MCV),sensatory conduction ve-locity (SCV),amplitude (AMP)and potential at the elbow of ulmar nerve.And the related muscles under the control of ulmar nerve or median nerve were inspected by using electromyography.Results There were 29 cases (83%)diagnosed with CuTS,4 cases (11%)diagnosed with UTS and 2 normal cases (6%).The total abnormal rate was 94%.Conclusion Electromyography examination can clearly identify CuTS and UTS,and can provide the references for clinical diagnosis and treatment,which has an important clinical value.