Inching技术与其他神经传导技术在腕管综合征中的诊断价值比较

发布时间：2018-08-02 12:53

【摘要】：目的:比较Inching技术与其他神经传导检测(NCSs)技术在腕管综合征(CTS)诊断中的价值。方法:对41例CTS患者和32例正常对照者均进行Inching技术、常规法及比较法的神经传导检测,并比较三者诊断CTS的敏感性及特异性。结果:(1)CTS组与对照组进行常规法与比较法的NCS结果比较:CTS组中应用常规法检测的正中神经末端感觉、运动传导潜伏期以及应用比较法检测的正中神经与同一肢体的尺神经或桡神经感觉或运动传导潜伏期差值均长于对照组,差异显著(P0.01);CTS组的正中神经前臂段运动传导速度慢于对照组,差异显著(P0.01)。(2)CTS组与对照组手腕部正中神经Inching技术检测结果比较:CTS组在腕下2cm至腕下3cm节段及腕管内节段平均每厘米的潜伏期差值均长于对照组,差异性非常显著(P0.01)。(3)CTS组各NCS指标敏感性、特异性比较:以手腕部正中神经Inching技术检测的敏感性最高,尤其是感觉Inching技术的检测敏感性(95.1%)与常规法及比较法的NCS指标比较,差异有统计学意义(P0.05),而在应用常规法及比较法进行的运动神经传导检测指标中以2LI-MDLD的检测敏感性(80.5%)为最高。结论:(1)2LI-MDLD是诊断CTS最有价值的运动NCS技术。(2)Inching技术对于CTS定位诊断的敏感性明显优于常规法及比较法的NCS技术,可作为筛查和确诊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.
【学位授予单位】：福建医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R688

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