摘要
目的研究位移技术对于鉴别腕管综合征与神经根型颈椎病的临床应用价值。方法选取2010年1月至2012年10月唐山市人民医院康复医学科拟诊为神经根型颈椎病或腕管综合征的患者200例,均进行常规阶段的运动神经传导速度和位移技术测定。结果经位移技术诊断后,200例拟诊断患者中有神经根型颈椎病73例(36.5%),腕管综合征75例(37.5%),神经根型合并腕管综合征3例(1.5%),肘管综合征4例(2.0%),未见异常45例(22.5%)。腕管综合征的拇指感觉神经传导速度为(28.7±0.3)m/s,食指为(31.5±0.4)m/s,中指为(32.2±0.5)m/s,腕部潜伏期为(4.8±1.9)m/s,运动神经传导速度为(60±5)m/s;神经根型颈椎病分别为(43.5±9.9)m/s、(46.7±15.0)m/s、(45.4±16.4)m/s、(3.6±0.4)m/s、(63±5)m/s。两者之间比较差异有统计学意义(P<0.05)。结论位移技术有助于鉴别神经传导阻滞与否,从而有效鉴别腕管综合征及神经根型颈椎病。
Objective To study the value of displacement technique in the identification of carpal tun- nel syndrome and cervical spondylosis radiculopathy. Methods A total of 200 patients diagnosed as carpal tunnel syndrome or cervical spondylosis radiculopathy in Department of Rehabilitation Medicine, Tangshan People＇s Hospital from Jan. 2010 to Oct. 2012 were selected as research objects. Both motor nerve conduction velocity and displacement determination in conventional phase were analyzed. Results After diagnosed by displacement technique, among the 200 patients,73 cases had cervical spondylosis radiculopathy, accounting for 36. 5% ,75 cases had carpal tunnel syndrome, accounting for 37.5%, three cases had root merger of carpal tunnel syndrome, accounting for 1.5 %, four cases had cubital tunnel syndrome, accounting for 2. 0%, and there were 45 patients with no abnormality fonnd,accounting for 22. 5%. For patients with carpal tunnel syndrome, their sensory nerve conduction velocity of thumb was （28.7 ± 0. 3 ） m/s, that of the index finger was （31.5 ± 0. 4） m/s, and that of the middle finger was （ 32. 2 ± 0. 5 ） m/s, the wrist incubation period was （4. 8 ± 1.9） m/s, the motor nerve conduction velocity was （60 ± 5 ） m/s; for patients with cervical spondy- losis radiculopathy,indicators mentioned above respectively were （43.5 ±9. 9） m/s, （46. 7 ± 15.0） m/s, （45.4 ± 16.4） m/s, （3.6 ± 0. 4） m/s,and （63 ±5） m/s. There were statistically significant differences of those indicators between the two diseases（ P 〈 0. 05 ）. Conclusion Displacement technology contributes to the identification of nerve block, so as to effectively distinguish carpal tunnel syndrome from cervical spondy- losis radiculopathy.
出处
《医学综述》
2015年第9期1722-1723,共2页
Medical Recapitulate
关键词
腕管综合征
神经根型颈椎病
位移技术
鉴别
Carpal tunnel syndrome
Cervical spondylosis radiculopathy
Displacement technology
Identification
