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頁籤選單縮合
題 名 | 第七頸椎神經根病變之H反射檢查評估 |
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作 者 | 梅紹京; 劉憶平; 詹瑞棋; 徐道昌; | 書刊名 | 復健醫學會雜誌 |
卷 期 | 23:2 1995.12[民84.12] |
頁 次 | 頁111-116 |
分類號 | 418.92 |
關鍵詞 | 橈側屈腕肌; H反射; C乣神經根病變; C乣radiculopathy; Flexor carpi radialis muscle; H reflex; |
語 文 | 中文(Chinese) |
中文摘要 | 此研究之目的在於評估利用上肢橈側屈腕肌(FCR)H反射之檢查以檢測第七頸椎神經根病變之可行性。 本研究共收集60位正常男女及42位C7神經根病變患者進行FCR H-reflex之檢測。全部受測患者皆曾經由臨床檢查,電腦斷層掃描及神經電氣檢查證實具C7神經根病變,其中男性31人,女性11人,平均年齡58.5歲。利用NICOLET VIKING肌電圖儀檢測患者兩側橈側屈腕肌之H反射。結果發現:1)患側FCR H-reflex之振幅有明顯的降低,平均值約0.1±0.02mV(正常值0.9±0.2mV),p<0.01。2)FCR H-reflex之潛期亦有明顯的延緩,平均值約22.4±1.7msec(正常值為16.8±1.9msec),p<0.05。3)潛期間期(H-M latency)亦有意義之延長,平均值約17.8±1.8msec(正常值13.7±1.2msec),p<0.05。4)正常兩側H反射潛期的差異皆在1msec以內,而C7神經根病變患者之健側與患側之潛期差異介於3.5~5.6msec(mean 4.2msec)。本研究顯示以上肢FCR H反射之潛期、振幅等參數之變化來評估C7神經根病變是一簡易可行之檢查方法。本文同時討論其中六位接受手術治療之病患,其術前及術後FCR H反射之變化。 |
英文摘要 | H-reflexes of the flexor carpi radialis muscle were studied in 60 controls and 42 patients with C7 radiculopathy. Reflex parameters were compared to normal standards and correlated with clinical evaluations, radiologic and other electrophysiologic findings. The surface recording technique used was similar to that described in the previous report for the study of normal subjects. The present data revealed: 1)Patients with C7 radiculopathy showed an abnormally prolonged latency of the FCR H-reflex. It increased from an average of 16.8±1.9msec in normal subjects to 22.4±1.7msec, p<0.05. 2)The peak-to-peak amplitude of the H-reflex was significantly decreased from a normal value of 0.9±0.2mV to 0.1±0.02mV, P<0.01 in subjects with C7 root lesion. 3)Similarly, the H-M latency also delayed from a normal mean of 13.7±1.2msec to 17.8±1.9msec in patient group, P<0.05. 4)Bilateral latency difference increased from an average of <1msec in normal subjects to 3.5~5.6msec in patient group. These results indicate that FCR H-reflex is a useful and valid method for evaluating C7 radiculopathy. This paper also discusses the changes in FCR H-reflex in six patients who had received operation. Repeat electrophysiological examinations of H-reflex after surgery provided valuable information about the prognosis of nerve root recovery. |
本系統中英文摘要資訊取自各篇刊載內容。