改良正中神经运动传导速度检查法在提高腕管综合征检出率及早期诊断中的价值分析-神经病学专业论文.docx

万方数据 万方数据 目 录 中文摘要 ·············································································1 英文摘要 ·············································································4 英文缩写 ·············································································7 研究论文 改良正中神经运动传导速度检查法在提高腕管综合征检出 率及早期诊断中的价值分析 前言 ·············································································8 材料与方法 ···································································10 结果 ·············································································12 附图 ·············································································13 附表 ·············································································15 讨论 ·············································································17 结论 ·············································································21 参考文献 ·······································································22 综述 探讨改良后的正中神经运动传导速度检查法在提高腕管综合征 检出率及早期诊断中的意义 ··············································24 致谢 ···················································································33 个人简介 ·············································································34 中 中 文 摘 要 PAGE 10万方数据 PAGE 10 万方数据 改良正中神经运动传导速度检查法在提高腕管综合征检出率及 早期诊断中的价值分析 摘 要 目的：研究分析改良后的正中神经运动传导速度检查法在提高腕管综 合征检出率及早期诊断中的价值。 方法：收集 2015 年 1 月-2016 年 1 月，在我院确诊为 CTS 的患者 80 例为观察对象。其中，71 例患者临床症状及体征符合 CTS，肌电图检查 显示了明确的正中神经远端传导异常；9 例患者临床症状及体征符合 CTS， 肌电图检查未能显示异常或肌电图检查指标接近临界值，后经随访或手术 证实为 CTS，也入组分析。入组的 80 例患者均在我院肌电图室行肌电图 检查，有完整的肌电图检查数据。入组患者的 MCV 检查均采用改良组及 传统组两种方法进行检测，分析比较两种检查方法在提高腕管综合征检出 率及早期诊断上的差异。入组患者的 SCV 检查均采用常规的感觉神经顺 向检查法，SCV 检查结果关系到轻度 CTS 患者的诊断及入组，但不作为 分析改良组与传统组检查方法差异性的指标。另外，选择 47 例（共 52 只腕）确诊为 CTS，NCS 显示为轻度，即正中神经 DML（腕部刺激，拇 短展肌记录）≤4.5ms[6]的患者为轻度 CTS 组；选择同期年龄相匹配的 25 例（共 31 只腕）健康人为正常对照组；分析正中神经 DML、肘-腕 MCV、 腕-掌 MCV 等指标在轻度 CTS 及正常人中的差异并确定本实验室的正常 值（±2.5s）。应用 SPSS13. 0 统计软件包对收集的数据进行处理，对计 数资料率的比较行 χ2 检验（本实验应用的是配对设计四格表资料的假设 检验）；对计量资料数据用±s 表示，两组均数的比较用