腕管内压测量及其临床意义.docVIP

腕管内压测量及其临床意义 罗特坚打全金海2,肖亮S徐运碧2,伍口萍J向俾芳2(邵阳医学 高等专科学校人体解剖学教研室，湖南，邵阳422000) ［摘要］目的探讨腕管综合症的发病原因，寻找治疗腕管综合症 的最佳方法。方法 利用通过造改的血压测量器，测量腕管在碗横韧 带上、下方的内压；观察测量腕横韧带的厚度。结果 腕管内压力在 韧带上方左侧为1?39土 1. 14mmHg右侧为1.81±0. 72mmHg,在韧带下 方左侧为3. 02± 1. 12nimHg右侧为3. 15±1.23mmHg；腕横韧带的厚度 为0. 13±0.06mnio切断腕横韧带后用此种压力测量器腕管内压尚未 测出。结论 腕管内压的维持与腕横韧带的厚度有一定关系，某种因 素造成腕横韧带的增厚是腕管综合症的发病原因之一。 ［关键词］腕管内压测量临床意义 ［关键词］腕管内压测量 临床意义 Flexor Canal Internal Pressure Measurement And Its Clinical Meanings Luo Te-jian, Quan jinhai, Xiao liang, Xu yunbi, Wu riping, Xiang bifang (Human Anatomy Department, Shaoyang Medical College, Shaoyang, Hunan 422000) Abstract: Objective To research the morbility reasons of flexor ［基金项目］校级大学生研究性学习和创新性实验计划”课题 ［作者简介］1罗特坚(1968. 02-),男，湖南省隆冋县人，副教授，主要从事应用解剖学 研究,课题指导教师。电话2全金海等08级临床医学专业学生。 canal symptom complex and look for the best recipes to cure carpal tunnel syndrome. Methods Use blood pressure monitor, measure internal pressure of flexor canal onthe higher and lower parts and observe depth of measuring transverse carpal ligament. Results internal pressure of flexor canal is 1.39±1.14mmHg in the left of upper ligament, 1.81±0.72mmHg in the right of it, 3.02±1.12mmHg in the left of underpart ligament, and 3」5±1.23mmHg in the right of it with depth -0.13±0.06mm of transverse carpal ligament. We can not find out the result, using this kind of pressure measurement machine after we cut off transverse carpal ligament. Conclusion The maintenance of internal pressure of flexor canal is connected with the depth of transverse carpal ligament. Some factor that makes transverse carpal ligament become thicker is one of morbidity reasons of carpal tunnel syndrome ? Key words: flexor canal ; internal pressure measurement; Clinical meaning ? 腕管综合症是中老年人常见疾病之一。是正中神经在腕管内受压 所致。其发病原因复杂，许多职业经常重复做同一种动作可诱发此病， 慢性劳损或外伤骨折等原因均可引起本病「n。其临床表现为橈侧3 个半指头麻木、疼痛或大鱼际肌麻痹，持物和拇指对掌无力，大部分 病例腕部正屮神经Tincl征及屈腕试验（phalcn征）阳性⑴。严重影响 患者手的功能。近年来临床学者采用中西结合，内外科结合治疗，取 得了一定的疗效C，2M51O本病的发病原因尚未完全探明，上述方法治 疗仅能治标，难能治本，存在有旧病复发现象。因此，探讨腕管综合 症的发病根