神经电生理在肘管综合征诊断与评估中的应用进展

Advances in the application of neurophysiology in the diagnosis and evaluation of cubital tunnel syndrome

摘要:

肘管综合征是一种常见的上肢周围神经压迫综合征，以尺神经支配区域感觉异常和手内在肌萎缩无力为主要表现，病情严重时可导致患者残疾，影响患者的日常生活。电生理检查包括肌电图和神经传导检查，是诊断肘管综合征的金标准，在评估尺神经功能状态中起着关键作用。近年来，高频超声和磁共振成像也逐渐与电生理结合应用到肘管综合征的诊断中，显著提高了诊断率。该文就当前电生理检查及影像学技术诊断肘管综合征的最新进展进行总结，以期为后续研究方向提供依据。

Abstract:

Cubital tunnel syndrome is a common compressive peripheral neuropathy of the upper limb mainly characterized by paresthesia in the area innervated by the ulnar nerve and atrophy/weakness of the intrinsic hand muscles， and it can lead to disability in severe cases and thus significantly impact the daily life of patients. Electrophysiological examinations， including electromyography and nerve conduction studies， are considered the gold standard for the diagnosis of cubital tunnel syndrome， playing a crucial role in assessing ulnar nerve function. In recent years， high-frequency ultrasound and magnetic resonance imaging have been combined with electrophysiological techniques in the diagnosis of cubital tunnel syndrome， which significantly improves diagnostic accuracy. This article summarizes the latest advances in the application of electrophysiological examinations and imaging techniques in the diagnosis of cubital tunnel syndrome， in order to provide a basis for future research directions.