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手的症状及体征在颈椎脊髓症的诊断与判断预后中的作用
引用本文:陈君长,牛广山,李吾成.手的症状及体征在颈椎脊髓症的诊断与判断预后中的作用[J].西安交通大学学报(医学版),1987(2).
作者姓名:陈君长  牛广山  李吾成
作者单位:西安医科大学第二附属医院外科学教研室,山西省晋东南地区卫生学校,西安医科大学第二附属医院外科学教研室
摘    要:作者等在临床工作中观察到:颈椎脊髓症患者都有不同的手部异常表现,即所谓“颈髓症的手”。本文对此作了详细介绍,主要包括:手部精细运动功能低下;小指分离现象阳性;手指伸屈10秒试验阳性;手指伸屈与腕关节掌屈背伸异常连动;以及其它体征。“颈髓症的手”是诊断重症颈髓症的重要指标之一,能较客观地反映脊髓症的严重程度,并可做为手术预后判断的依据


THE SIGNS OF THE HANDS IN ACT ON DIAGNOSIS AND PROGNOSIS OF MYELOPATHY——REPORT OF 8 CASES
Chen Junchang.THE SIGNS OF THE HANDS IN ACT ON DIAGNOSIS AND PROGNOSIS OF MYELOPATHY——REPORT OF 8 CASES[J].Journal of Xi‘an Jiaotong University:Medical Sciences,1987(2).
Authors:Chen Junchang
Abstract:It is clinically observed that patients with myelopathy of cervical vertebra often show abnormal manifestation of hands in varying degree.We called it“the cervical myelopathie hand”.which was described in detail in this article.The clinical man- ifestations of“the cervical myelopathic hand”are as following:Hypofunction of fine movement of the hand:separation of the little finger from the midline of the hand;the ten-second test of finger exten- sion and flexion is pasitive the conbining movement bath extension-flexion of the finger and the wrist is abnormal;and other signs.“The cervical myelopathic hand” is one of many important conditi- ons for dianosis of serius mylopathy.It also objectivelly shows serious degree of the cervical myepathy and can be emplo- ied to judge potoperative results.
Keywords:spinal cord diseases  surgery  operative  
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