F波在神经型胸廓出口综合征诊断中的作用

The role of F waves in the diagnosis of neurogenic thoracic outlet syndrome

目的探讨F波检测对神经型胸廓出口综合征临床诊断的作用及意义。方法自2012年1月至2014年2月，通过临床症状、体征、影像学检查或电生理检测诊断为神经型胸廓出口综合征并得到术中证实的2，4例患者，我们对其正中神经、尺神经F波电生理资料进行回顾性分析。结果分析24例神经型胸廓出口综合征患者的正中、尺神经F波电生理资料后发现上肢F波异常率达83％（20／24）。结论正中、尺神经F波检测对于神经型胸廓出口综合征具有一定的临床诊断价值，可作为临床诊断指标之一。

Objective To investigate the value and significance of F-wave detection in the diagnosis of neurogenic thoracic outlet syndrome. Methods A total of 24 patients who were diagnosed with neurogenic thoracic outlet syndrome by clinical symptoms, signs, imaging tests, or electrophysiological examination and confirmed by operative findings from January 2012 to February 2014 were involved in the study. A retrospective review of their electrophysiological data of the median nerve and ulnar nerve was conducted to analyze the F- wave. Results The electrophysiological data of the median nerve and ulnar nerve of these 24 cases of neurogenic thoracic outlet syndrome revealed the existence of abnormal F wave in the upper limb in 83 % of the cases （20/24）. Conclusion F-wave detection of the median nerve and ulnar nerve has certain diagnostic value for patients with neurogenic thoracic outlet syndrome. It can be used as one of the diagnostic criteria for neumgenic thoracic outlet syndrome.