中国中西医结合外科杂志2015，Vol.21Issue(5)：454-456,3.DOI:10.3969/j.issn.1007-6948.2015.05.004
神经肌电图和超声检查在合并糖尿病的腕管综合征诊断中的应用价值
Electromyography and Ultrasound Application in Diabetic Patients Diagnosis of Carpal Tunnel Syn-drome
摘要
Abstract
Objective To discuss the value of electrophysiology diagnosis on diabetic patients with carpal tunnel syndrome. Methods Twenty-five cases of diabetic patients (experimental group) and 10 healthy subjects (control group) were reviewed. Electromy-ography equipment was used to measure the nerve conduction velocities of all subjects and then the velocities were compared. Results The differences of median nerve distal motor latency, (5.01 ± 1.37) ms、(3.15 ± 0.55) ms, the sensory conduction velocities of finger 1-wrist (45.56±8.69) m/s、(57.90±2.47)m/s, finger3-wrist (42.03± 11.59) m/s、(58.20 ± 3.08) m/s and the ring finger LAT differences of median nerve and ulnar nerve (1.50 ± 1.50) ms、(0.12 ± 0.06) ms were statistically significant(P<0.05), the distal motor latency of ulnar nerve (2.73 ± 0.21) ms、(2.67 ± 0.13) ms and the sensory conduction velocities of finger 5-wrist (57.78 ± 3.26) m/s、(59.20 ± 2.49) m/s showed no difference (P>0.05). Using ultrasound examination to observe the median nerve cross-sectional area of the experimental group patients showed the positive rate of carpal tunnel syndrome was 77%. Conclusion By electrophysiological examination carpal tunnel syndrome of diabetic patients can be discovered earlier, with combination of ultrasound the presence and severity of compression can be displayed better, thus to implement accurate treatment for better results.关键词
糖尿病/腕管综合征/肌电图/超声检查Key words
Diabetes/carpal tunnel syndrome/electromyography/ultrasonography分类
医药卫生引用本文复制引用
王亚薇,袁宇,闫旭..神经肌电图和超声检查在合并糖尿病的腕管综合征诊断中的应用价值[J].中国中西医结合外科杂志,2015,21(5):454-456,3.基金项目
天津市卫生局科技基金课题(2014KR15) （2014KR15）
