臂丛神经血管受压征的特殊试验调查报告

Report on special tests of brachial plexus neurovascular compression syndrome

目的：研究臂丛神经血管受压征五项特殊试验对诊断的临床意义。方法：对１００名正常青年男女的双侧上肢进行Ｗｒｉｇｈｔ试验、Ｒｏｏｓｅ试验、Ａｄｓｏｎ试验、肋锁挤压试验和锁骨上压迫试验，并对其检查结果进行分析。结果：Ｗｒｉｇｈｔ试验在正常人群中的阳性率达８４％（１６８／２００侧）；而Ａｄｓｏｎ试验的阳性率仅７％（１４／２００）。Ｒｏｏｓｅ试验阳性率占８７％（１７４／２００）；肋锁挤压试验阳性率达５９％（１１８／２００）；锁骨上压迫试验阳性率达９４％（１８８／２００）。结论：将五项特殊试验的结果进行综合分析，对臂丛神经血管受压的诊断征有一定的临床意义。但在诊断臂丛神经血管受压征时。

Objective: To evaluate the clinical significance of the five tests in the diagnosis of brachial plexus neurovascular compression syndrome. Methods: Wright test,Roose test, Adson test, costoclavicular crushing test,and supraclavicular pressing test were performed bilaterally in 100 healthy young men and women. The results of the examination were recorded and analyzed. Results: The positive rate in normal people is 84%(168/200) in Wright test, and 7%(14/200) in Adson test. The positive rate of Roose test is 87%(174/200) while that of costoclavicular crushing test is 59%(118/200) and that of supraclavicular pressing test is 94%(188/200). Conclusions: The combination of these tests might be of some significance for diagnosis of brachial ploexus neurvascular compression syndrome, but the more important are the clinical manifestations.