CAJ | 학술논문

目的：探讨神经电生理在肘管综合征（CuTS）与腕尺管综合征（UTS）诊断及鉴别诊断中的意义。方法：对30例35侧肢体经临床初步诊断为CuTS的患者以及5例UTS患者进行神经肌电图检测及分析。结果：30例35侧肢体的CuTS主要表现为尺神经运动肘段运动传导速度（MCV）减慢及复合肌动作电位（CMAP）波幅下降28例和未引出7条；前臂神经干电位MCV减慢29条和未引出6条；尺神经手背支感觉传导速度（SCV）减慢及感觉神经动作电位（SNAP）波幅下降27条和未引出8条。CuTS尺神经运动肘段、前臂神经干电位、尺神经手背支SCV和SNAP属正常范围，仅见背侧第一骨间肌呈失神经损害及腕－第1骨间肌的运动潜伏期延长。结论：神经肌电图检查是诊断和鉴别诊断CuTS和UTS的可靠手段，从而指导临床进一步的治疗具有重要意义。
목적：탐토신경전생리재주관종합정（CuTS）여완척관종합정（UTS）진단급감별진단중적의의。방법：대30례35측지체경림상초보진단위CuTS적환자이급5례UTS환자진행신경기전도검측급분석。결과：30례35측지체적CuTS주요표현위척신경운동주단운동전도속도（MCV）감만급복합기동작전위（CMAP）파폭하강28례화미인출7조；전비신경간전위MCV감만29조화미인출6조；척신경수배지감각전도속도（SCV）감만급감각신경동작전위（SNAP）파폭하강27조화미인출8조。CuTS척신경운동주단、전비신경간전위、척신경수배지SCV화SNAP속정상범위，부견배측제일골간기정실신경손해급완－제1골간기적운동잠복기연장。결론：신경기전도검사시진단화감별진단CuTS화UTS적가고수단，종이지도림상진일보적치료구유중요의의。
Objective:To explore the significance of nerve electrophysiology in cubital tunnel syn‐drome(CuTS) and ulnar tunnel syndrome( UTS) in diagnosis and differential diagnosis .Methods:35 side limbs of 30 cases with CuTS and 5 cases with UTS neuromuscular electrical diagram were tested and ana‐lyzed .Results:In 35 side limbs of 30 cases with CuTS there were 28 cases whose motor nerve conduction velocity(MCV) in the elbon slowed down and compound nerve action potentiat (CMAP) decreased and those in 7 cases were not led out ;those in 8 cases were nerve hunk potential MCV in forearms sloweed down in 29 cases and those not led out in 6 ;Ulnar nerves with uand back sensory nerve conduction veloc‐ity (SCV)and sensory nerve action potential(SNAP) amplitudes declined in 27 cases and not led out . UTS motion elbow ,forearm ulnar trunk potential ,and ulnar nerves with hand back SNAP were normal , just thenerves of side the first interosseous muscle were found damaged and interosseous muscle move‐ment of wrist‐1 latency extended .Conclusion:Neuromuscular electrical diagram is the diagnosis and differ‐ential diagnosis for CuTS and UTS and it can guide clinical further treatment .