【摘要】：目的:比較Inching技術(shù)與其他神經(jīng)傳導(dǎo)檢測(NCSs)技術(shù)在腕管綜合征(CTS)診斷中的價值。方法:對41例CTS患者和32例正常對照者均進行Inching技術(shù)、常規(guī)法及比較法的神經(jīng)傳導(dǎo)檢測,并比較三者診斷CTS的敏感性及特異性。結(jié)果:(1)CTS組與對照組進行常規(guī)法與比較法的NCS結(jié)果比較:CTS組中應(yīng)用常規(guī)法檢測的正中神經(jīng)末端感覺、運動傳導(dǎo)潛伏期以及應(yīng)用比較法檢測的正中神經(jīng)與同一肢體的尺神經(jīng)或橈神經(jīng)感覺或運動傳導(dǎo)潛伏期差值均長于對照組,差異顯著(P0.01);CTS組的正中神經(jīng)前臂段運動傳導(dǎo)速度慢于對照組,差異顯著(P0.01)。(2)CTS組與對照組手腕部正中神經(jīng)Inching技術(shù)檢測結(jié)果比較:CTS組在腕下2cm至腕下3cm節(jié)段及腕管內(nèi)節(jié)段平均每厘米的潛伏期差值均長于對照組,差異性非常顯著(P0.01)。(3)CTS組各NCS指標敏感性、特異性比較:以手腕部正中神經(jīng)Inching技術(shù)檢測的敏感性最高,尤其是感覺Inching技術(shù)的檢測敏感性(95.1%)與常規(guī)法及比較法的NCS指標比較,差異有統(tǒng)計學(xué)意義(P0.05),而在應(yīng)用常規(guī)法及比較法進行的運動神經(jīng)傳導(dǎo)檢測指標中以2LI-MDLD的檢測敏感性(80.5%)為最高。結(jié)論:(1)2LI-MDLD是診斷CTS最有價值的運動NCS技術(shù)。(2)Inching技術(shù)對于CTS定位診斷的敏感性明顯優(yōu)于常規(guī)法及比較法的NCS技術(shù),可作為篩查和確診CTS的特定工具。
[Abstract]:Objective: To compare the value of Inching technique and other nerve conduction detection (NCSs) technique in the diagnosis of carpal tunnel syndrome (CTS). Methods: 41 cases of CTS and 32 normal controls were performed Inching technique, routine and comparative method of nerve conduction detection, and the sensitivity and specificity of three cases of CTS were compared. Results: (1) CTS group and control group The NCS results of routine method and comparison method were compared: the difference between the median nerve terminal sense of the median nerve in the CTS group, the latent period of motor conduction and the difference between the ulnar nerve or the radial nerve of the same limb was longer than that of the control group, and the difference was significant (P0.01), and the middle God of group CTS was in the middle of the group. The motor conduction velocity of the forearm segment was slower than that of the control group (P0.01). (2) the difference between the CTS group and the control group was compared with the median nerve Inching technique in the control group: the difference between the CTS group from 2cm to the 3cm segment of the wrist and the average of each centimeter in the carpal canal was longer than the control group, and the difference was very significant (P0.01). (3) the NCS index of CTS group was sensitive. Sensitivity and specificity: the sensitivity of the Inching technique of the median nerve in the wrist is the highest, especially the sensitivity of the sensory Inching technique (95.1%), compared with the NCS index of the conventional method and the comparison method (P0.05), but in the use of conventional and comparative methods of motor nerve conduction detection, 2LI-MDLD The sensitivity of detection (80.5%) is the highest. Conclusion: (1) 2LI-MDLD is the most valuable NCS technique for the diagnosis of CTS. (2) the sensitivity of Inching to CTS localization diagnosis is obviously better than that of conventional and comparative NCS technology, which can be used as a specific tool for screening and diagnosing CTS.
【學(xué)位授予單位】：福建醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2015
【分類號】：R688

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