中国全科医学2017，Vol.20Issue(23)：2915-2918,4.DOI:10.3969/j.issn.1007-9572.2017.06.y24
前臂尺神经干动作电位与短段传导时间测定诊断肘管综合征的价值研究
Value of Forearm Ulnar Nerve Trunk Action Potential and Short Segment Conduction Time for the Diagnosis of Cubital Tunnel Syndrome
王强 1张庆梅 2苏俊红 2倪文 3田锋1
作者信息
- 1. 832000 新疆石河子市人民医院创伤骨科
- 2. 832000 新疆石河子市人民医院神经内科
- 3. 832000 新疆石河子市人民医院神经电生理室
- 折叠
摘要
Abstract
Objective To investigate the clinical value of forearm ulnar nerve action potential(NAP) and short segment conduction time(SSCT) for the diagnosis of carpal tunnel syndrome(CTS).Methods The enrolled participants were 71 cases of CTS〔typical symptoms of CTS in 50 limbs(26 cases of unilateral,12 cases of bilateral),atypical symptoms in 38 limbs (28 cases of unilateral,5 cases of bilateral)〕 receiving treatment in Shihezi People′s Hospital from June 2014 to June 2016.The patients underwent the conventional electrophysiological examination.And the measurement of forearm ulnar NAP and SSCT were performed in them.Results For the patients with typical symptoms of CTS,the electrophysiological results were abnormal in 36(72.0%) limbs,SSCT was abnormal in 46(92.0%)limbs.The rate of abnormal SSCT was higher than that of the abnormal electrophysiologic results(χ2=6.775,P=0.009).The electrophysiological results were abnormal in 18(69.2%)unilateral limbs,forearm ulnar NAP was abnormal in 23(88.5%)unilateral limbs and SSCT was abnormal in 23(88.5%)unilateral limbs.The rate of abnormal forearm ulnar NAP of unilateral limb was not significantly different from that of abnormal electrophysiological results of unilateral limb(χ2=2.882,P=0.090).The rate of abnormal SSCT of unilateral limb was similar to that of abnormal electrophysiological results of unilateral limb(χ2=2.882,P=0.090).The electrophysiological results were abnormal in 24 limbs(63.2%)of atypical cases,SSCT was abnormal in 32 limbs(84.2%).The rate of abnormal SSCT was higher than that of abnormal electrophysiologic results(χ2=4.343,P=0.037).The electrophysiological results were abnormal in 16(57.1%)unilateral limbs,forearm ulnar NAP was abnormal in 24(85.7%)unilateral limbs,SSCT was abnormal in 22(78.6%)unilateral limbs.The rate of abnormal forearm ulnar NAP of unilateral limb was higher than that of abnormal electrophysiological results of unilateral limb(χ2=5.600,P=0.018).The rate of abnormal SSCT of unilateral limb was not significantly different from that of abnormal electrophysiological results of unilateral limb(χ2=2.947,P=0.086).Conclusion For CTS patients with atypical early clinical symptoms,the diagnostic rate increases by using SSCT.The rate of early diagnosis of CTS can be improved by the measurement of SSCT combined with forearm ulnar NAP for patients with unilateral ulnar nerve damage if available.关键词
肘管综合征/尺神经/前臂尺神经干电位/短段传导时间测定Key words
Cubital tunnel syndrome/Ulnar nerve/Forearm ulnar nerve trunk potential/Short segment conduction time分类
医药卫生引用本文复制引用
王强,张庆梅,苏俊红,倪文,田锋..前臂尺神经干动作电位与短段传导时间测定诊断肘管综合征的价值研究[J].中国全科医学,2017,20(23):2915-2918,4.
