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腕管综合征262例临床分析

Clinical Analysis of 262 Patients With Carpal Tunnel Syndrome
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摘要 本文报道了262例腕管综合征,男42例,女220例,平均年龄47岁。计369只手,右侧92例,左侧36例,双侧134例。病期12天~20年.平均2.5年。结果表明中老年女性易患本病,优势手更常受累。主要症状为手麻木和疼痛,部分病人伴有无力。主要体征为手部感觉减退或过敏,部分病人Tinel及Phalen征阳性,极少数病人鱼际肌萎缩。症状常在夜间或清晨加重,手劳累后加重,甩手后缓解。 Clinlcal manifestations and electrophysiological findings of 262 patients with carpal tunnel syndrome(CTS)were analyzed .Totally 396 hands were involved,among which 92 had only the right hand involved.36 only the left.and l34 bilaterally affected (ammong them 44having more severely affected in the right hand ,22 in the left),The illness duration ranged from 12 days to 20 years (mean2.5 yeats ).Results showed that the middle-and old-aged woman was more susceptible to have CTS,and the dominant hand was more frequently affected.Pain.nnmbness,hypesthesia or hyperesthesia in the hand were the primary symptoms and signs,Weakness,Positive Tinel s and Phalen's signs were occasionally presented,but thenar atrophy was seldom observed,The symptoms usually increase at night or early morning and may wake the patient,and worsen following overwork of the hand and may be relieved by shakin the hand.
出处 《临床实用神经疾病杂志》 1995年第1期7-10,共4页
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