综上所述,对于临床上以尺神经损害为主要表现者在做神经传导检查时,除了常规检查尺神经运动传导外,要特别重视肘上至肘下段之间的短节段性神经传导检测,它能够较准确地确定尺神经在肘部的具体损害部位。此外,尺神经运动传导应该分别在小指展肌和第一骨间肌上记录,以提高诊断率。尺神经小指腕感觉传导异常只能说明尺神经损害,但不能定位。同样尺神经支配的小指展肌、第一骨间肌出现神经源性损害时,也只能说明尺神经损害,也不能定位,而尺侧腕屈肌异常与否不能做为判断尺神经是否在肘管处有损害的指标,还需要结合神经传导检测才能确定。
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