重庆医学2025，Vol.54Issue(12)：2733-2736,2742,5.DOI:10.3969/j.issn.1671-8348.2025.12.003
Semmes-Weinstein单丝检测在手指神经损伤术前诊断及术后评估中的应用研究
Application of Semmes-Weinstein monofilament examination in preoperative diagnosis and postoperative evaluation of digital nerve injuries
摘要
Abstract
Objective To investigate the application value of Semmes-Weinstein monofilament exami-nation(SWME)in the preoperative diagnosis and postoperative sensory evaluation of the patients with finger nerve injuries.Methods A total of 106 patients with open finger trauma(106 fingers)treated in this hospital from January 2018 to January 2023 were selected as the study subjects and SWME was respectively performed within 24 h,48-72 h after injury and during follow-up after surgery.The differences in SWME results were compared among the different time points.The finger nerve injury was explored through surgery and classified into grade one,two,three and four according to the severity to determine the cut-off value of SWME diagno-sis.Results The cases of grade one to four finger nerve injuries were 8,29,33 and 36 respectively.There were statistically significant differences in the SWME values within 24 h,48-72 hours after injury and during fol-low-up after surgery for different grade of finger nerve injury(P<0.05).Compared with within 24 h after in-jury,the SWME value of grade one finger nerve injury was higher at 48-72 h after injury,and the SWME val-ues of grade two,three and four finger nerve injury were lower during follow-up after surgery,the differences were statistically significant(P<0.05).The receiver operating characteristic(ROC)curve result showed that the SWME cut-off values for diagnosing as grade one injury was≤3.14,which in grade two was>3.14-4.94,which in the grade three was>4.94-7.39,and which in grade four was>7.39,the accuracy degrees for diagnosing the grade one and four were higher.Conclusion SWME could serve as a indicator for preopera-tively predicting the finger nerve injury and postoperative evaluating recovery degree of tactile and pressure sensation after nerve injury.关键词
手指/神经损伤/Semmes-Weinstein单丝检测/触觉阈值/感觉神经Key words
finger/nerve injury/Semmes-Weinstein monofilament examination/tactile thresholds/sen-sory nerve分类
医药卫生引用本文复制引用
ZHUO Gaobao,XU Lingfeng..Semmes-Weinstein单丝检测在手指神经损伤术前诊断及术后评估中的应用研究[J].重庆医学,2025,54(12):2733-2736,2742,5.基金项目
浙江省医药卫生科技计划项目(2021KY783) （2021KY783）
浙江省温州市科技局基础性医疗卫生科技项目(Y20210430). （Y20210430）
