摘要
目的:探讨电生理检查对无明确外伤史出现伸指功能障碍的诊断价值。方法:对85例(92侧)无明确外伤史以伸指功能障碍为主诉的患者,桡浅神经、前臂内侧皮神经、尺神经、正中神经感觉神经传导速度(sensory nerve conduction velocity,SNCV)检测、运动神经传导速度(motor nerve conduction velocity,MNCV)检测;桡神经、正中神经、尺神经、肌皮神经、腋神经所支配肌的肌电图(electromyogram,EMG)检测。结果:外侧肌间隔卡压16例(16侧)、骨间后神经卡压41例(41侧)、胸廓出口14例(15侧)、运动神经元疾病4例(8侧)、平山病5例(7侧)、3例(侧)周围神经病变,2例(4侧)所检测指标均在正常范围,电生理检测所得结果阳性率为94.1%。结论:电生理检查可以对无明确外伤史出现伸指功能障碍提供客观的检测指标,对该病的病因诊断具有重要的价值。
Objectives：To explore the diagnostic value of electrophysologic examination（EPE）in patient with extend finger dysfunction without identify trauma history.Methods：Sensory nerve conduction velocity（SNCV）and motor nerve conduction velocity（MNCV）of nervus radialis superficialis,cutaneous antebrachii medialis nerve,ulnar nerve,median nerve were detected in 85 patient（92 sides）who complain extend finger dysfunction without identify trauma history.Meanwhile,the electromyogram（EMG）of relative muscles dominant by radial nerve,median nerve,ulnar nerve,musculocutaneous nerve,axillary nerve was done.Results：Entrapment syndrome of lateral intermuscular septum（16 cases,16 sides）,posterior interosseous nerve compression syndrome（41 cases,41 sides）,thoracic outlet syndrome（14 cases,15 sides）,motor neuron diseasee（4 cases,8 sides）,hirayama disease（5 cases,7 sides）,peripheral neuropathy（3 cases,6 sides）were diagnosed by EPE method respectively in 85 patients with extend finger dysfunction,only 2 cases were normal EPE rseult.The positive rate wans 94.1%.Conclusions：EPE has an important etiological diagnostic value value in patient with extend finger dysfunction without identify trauma history.
出处
《现代电生理学杂志》
2011年第2期70-72,77,共4页
Journal of Modern Electrophysiology
关键词
电生理
周围神经病变
伸指障碍
诊断
electrophysiology
peripheral neuropathy
extend finger dysfunction
diagnosis
