| 肘部尺神经卡压的定位诊断和电生理学研究 |
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| 引用本文： | 郁以红,黄绥仁.肘部尺神经卡压的定位诊断和电生理学研究[J].中华手外科杂志,1997,13(1):35-37. |
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| 作者姓名： | 郁以红 黄绥仁 |
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| 作者单位： | 上海医科大学附属中山医院肌电图室 |
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| 摘 要： | 目的：对肘部尺神经卡压进行精确定位和电生理学研究。方法：对４６例临床诊断为肘部尺神经卡压患者，除进行常规ＥＭＧ、ＮＣＶ、和尺神经混合神经动作电位（ＭＮＡＰ）测定以外，还进行尺神经短段传导时间（ｓｈｏｒｔｓｅｇｍｅｎｔｃｏｎｄｕｃｔｉｏｎｔｉｍｅ，ＳＳＣＴ）测定。结果：４６例经ＳＳＣＴ测定，发现了卡压最常发生的４个部位，即肱骨内上髁后神经沟、肱尺弓、尺侧腕屈肌的出口和内侧肌间隔。结论：和传统的电生理测定方法相比较，ＳＳＣＴ技术可以更精确地对尺神经卡压进行定位诊断
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| 关 键 词： | 尺神经 电生理学 尺神经压迫综合征 |
Localized diagnosis and electrophysiologic studies for ulnar nerve entrapment at the elbow |
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| Yue Yihong,Huang Suiren,He Xiaoying. EMG Laboratory,Zhongshan Hospital,Shanghai Medical University,Shanghai.Localized diagnosis and electrophysiologic studies for ulnar nerve entrapment at the elbow[J].Chinses Journal of Hand Surgery,1997,13(1):35-37. |
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| Authors: | Yue Yihong Huang Suiren He Xiaoying EMG Laboratory Zhongshan Hospital Shanghai Medical University Shanghai |
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| Institution: | Yue Yihong,Huang Suiren,He Xiaoying. EMG Laboratory,Zhongshan Hospital,Shanghai Medical University,Shanghai 200032 |
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| Abstract: | Objective: To carry out accurate localization and electrophysiologic study for ulnar nerve entrapment at the elbow. Methods: Short segment conduction time (SSCT) was studied in 46 clinically diagnosed cases of ulnar nerve entrapment at the elbow, in addition to conventional EMG, NCV and MNAP measurement. Results: In 46 patients, the ulnar nerve entrapment at the elbow could be found by prolonged SSCT at four distinct locations: the medial epicondyle groove, brachial ulnar arch, outlet of flexorcarpi ulnaris and medial intermuscular septum. Conclusions: SSCT technique was superior to other conventional electro physiological studies for ulnar nerve entrapment at the elbow, in that it could accurately determine the compression loci. |
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| Keywords: | Ulnar nerve Electrophysiology Ulnar nerve compression syndrome |
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