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, l vi vo [11] Italia l 329/ 100.000 000 /100.000 [27] gõy lm n T , chi phớ 00 C tay Tuy nhiờn C c , chỳng tụi ti [11] 2013 rong Tinel Thang Long University Library 1854 ny [11] - n [ ],[9],[33], [37] - [11] 1.2 1.2.1 - i bú bờn ( b C7) c D1) C tay ( b cỏnh tay, C , chui tay Hỡnh ph - Thang Long University Library , tay, dõy ny c Hỡnh 1.2: 1.2 v cỏc hỡnh 2) Dõ [36] chớn [8][32][34] tay [10] nờu trờn Hỡnh 1.3 1.3 1.3 - ; dõy , inh [35] [12] cú th yelin [15] - c 30mmHg trờn Thang Long University Library bo, , thoỏi húa [26],[28],[39] 1.3 H Quỏ trỡnh v [24] ) [16] 1.4 1.4.1 chi ( ngún cỏi, ngún + cao lỏi xe [13] + + - khỏch quan: g nh 1.4.2 - - sng - cú th , [13] 1.5 l: 1.5.1 Ti Tinel: - vo vựng ( hỡnh 4) (ngún cỏi, - Thang Long University Library - - y dao - 60% 67% - 87% [20], [25] 1.4 1.5.2.N : - sỏt vo v vũng 60 giõy (hỡnh 5) - u vựng da tay ( 10 phỳt - lm - tay [13],[18], [25] 1.5 1.5.3 mỡnh trờn vũng 30 giõy - [14],[25] 10 Thang Long University Library 30 Thang Long University Library Lê Quang C- ờng, Nguyễn Huy C- ờng, Phan Hồng Minh, Lê Huy Liệu (1994) Một số nhận xét biến chứng thần kinh đái tháo đ- ờng ng- ời Việt nam Công trình NCKH- Bệnh viện Bạch Mai, tập 2: 361-8 Lê Quang C- ờng (1999) Nghiên cứu biểu thần kinh ngoại vi ng- ời tr- ởng thành đái tháo đ- ờng kỹ thuật ghi điện đo tốc độ đẫn truyền thần kinh Luận án Tiến sĩ Y học Tr- ờng Đại học Y Hà nội Lê Quang C- ờng, Nguyễn Trọng H- ng, Nguyễn Tuấn Anh, Nguyễn Anh Tuấn (2000) Nghiên cứu tốc độ dẫn truyền thần kinh ngoại vi 100 ng- ời Việt Nam từ 17 40 tuổi Tạp chí nghiên cứu Y h c (Tr- ờng ĐHY Hà nội), 11: 43-51 Minh: 16-21 i : 127 131 Bagatur AE, Zorer G The carpal tunnel syndrome a bilateral disorder.J bone Joint Surg 2001;83-B: 665-8 Bayramoglu M Entrapment Neuroanatomy 2004; 3: 18-24 neuropathies of the upper extremity Bland JDP, Rudolfer MS Clinical surveillance of carpal tunnel syndrome in two areas of the United Kingdom, 1991 2001 Journal of Neurology, Neurosurgery, and Psychiatry 2003; 74:1674-1679 10 Bozentka DJ, Katzman B Open carpal tunnel release Atlas hand Clinics Elsevier Saunders 2002; 7: 181-189 11 Clinical practice guideline on the diagnosis of carpal tunnel syndrome American Academy of Orthopaedic Surgeons 2007 12 Dahlin LB, McLean WG: Effects of graded experimental compression slow and fast axonal transport in rabbit vagus nerve J.Neurol Sci 1986;72: 19-30 13 Dawson DM, Hallet M, Wilbourn AJ Carpal tunnel syndrome Entrapment Neuropathies 3rd ed Lippincott Raven 1999; 20-94 14 Durkan JA A new diagnostic test for carpal tunnel syndrome J Bone Joint Surg Am 1991; 73(4):535-8 15 Dyck P, Lais AC, Giannini C, Engelstad JK: Structural alterations of nerve during cuff compression Proc.Nat.Acad.Sci 1990,87: 9828-9832 16 Gelberman RH, Hergenroeder PT, Hargens AR, Lundborg GN, Akeson WH The carpal tunnel syndrome A study of carpal canal pressures J Bone Joint Surg Am 1981; 63(3):380-3 17 Jablecki CK, Andary MT, Floeter MK, Miller RG, Quartly CA, Vennix MJ., Wilson JR carpal tunnel syndrome: Practice parameter: Electrodiagnostic studies in Report of the American Association of Electrodiagnostic Medicine, American Academy of Neurology, and the American Academy of Physical Medicine and Rehabilitation Neurology 2002; 58:1589-1592 18 Jaeger BN, Foucher G Correlation of clinical signs with nerve conduction test in the diagnosis of carpal tunnel syndrome Journal of Hand Surgery; 19: 720-724 19 Jenkins PJ, Srikantharajah D, Duckworth AD, Watts AC, McEachan JE Carpal tunnel syndrome: the association with occupation at a population level J Hand Surg Eur Vol 38E(1) 67-72 20 Katz JN, Simmon BP Carpal tunnel syndrome NEJM 2002; 346: 1807- 1812 Thang Long University Library 21 Katz JN, Stirrat CR A self administered hand diagram for the diagnosis of carpal tunnel syndrome J Hand Surg 1990; 15A:360 22 Kaul MP Paget KJ, Wheatley MJ, Dryden JD Carpal compression test and pressure provocative test in veterans with median-distribution paresthesias, Muscle Nevre, 2001 Jan; 24(10: 107-11 23 Kozin SH Single portal endoscopic carpal tunnel release Atlas hand Clinics Elsevier Saunders 2002;7: 229-241 24 Lundborg G, Dahlin LB The pathophysiology of nerve compression Hand Clin 1992; 8(2): 215-227 25 MacDermid JC, Wessel J Clinical diagnosis of carpal tunnel syndrome: a systematic review J Hand Ther 2004; 17(2):309-19 26 Mackinnon SE, Dellon AL, Hudson AR, Hunter DA: Chronic nerve compression - an experimental model in the rat Ann Plast Surg.1984, 13: 112-120 27 Mondelli M, Giannini F, Giacchi M Carpal tunnel syndrome incidence in a general population Neurology 2002; 58:289-294 28 Neary D, Ochoa J, Gilliatt RW: Sub-clinical entrapment neuropathy in man J Neurol Sci.1975, 24: 283-298 29 Norra DB, Becker J, Ehlers JA, Gomes I Clinical features of 1039 patients with neurophysiological diagnosis carpal tunnel syndrome Clinical Neurology and Neurosurgery 2004; 107: 64-69 30 Padua L, Padua R, Nazzaro M, Tonali P Incidence of bilateral symptoms in carpal tunnel syndrome J Hand Surg Eur Vol October 1998 vol 23 no 603-606 31 Practice parameter for carrpal tunnel syndrome ( Summary statement ) Report of the Quality Standards Subcommitee of the American Academy of Neurology Neurology 1993;43:2406 2409 32 Preston DC, Shapiro BE Electromyography and Neuromuscular disorders 2nd ed Butterworth Heinemann 2005; 255-279 33 Rossignol M, Stock S, Patry L, Armstrong B Carpal tunnel syndrome: What is attributable to work? The Montreal study Occupational and Environmental Medicine 1997; 54: 519-523 34 Rotman MB, Donovan JP Practical anatomy of the carpal tunnel Hand Cli.2002; 18(2):219- 230 35 Rydevik B, Lundborg G, Bagge U Effects of graded compression on intraneural blood flow An in vivo study on rabbit tibial nerve J Hand Surg.1981, 6: 3-12 36 Simovic D, Weinberg DH Carpal Tunnel Syndrome Arch Neuron 2000; 57:754-755 37 Stevens JC, Sun S, Beard CM, O'Fallon WM, Kurland LT Carpal tunnel syndrome in Rochester, Minnesota, 1961 to 1980 Neurology 1988; 38:134 -138 38 Tetro AM, Evanoff BA, Hollstien SB, Gelberman RH A new ptovocative test for carpal tunnel syndrome assessment of wrist flexion and nerve compression J bone Joint Surg 1998;80-B: 493-8 39 Thomas PK The connective tissue of peripheral nerve: an electron microscope study J Anat.1963, 97: 35-44 40 r: Physical signs of carpal tunnel syndrome Hospital physician July 2000; 39- 44 Thang Long University Library I Hnh chớnh - BMI): II tay - + Hai tay - au: tay, cỏnh tay, vai: - ờ: ay lờn cao: - - tamin ( Tờ phự ) - vi (INH, metronidazol, vincristin, nitrofurantoin ) III Khỏm Lõm sng - Thang Long University Library - - : + - : viờm lý cỏc b IV (RF) + (u mụ - c V Thang Long University Library Mó sinh viờn: B00198 ThS - -GS- - KTC4 Thang Long University Library : AN .5 .6 1.3.2 .8 m phỏp Tinel 10 .11 11 .12 12 .12 1.7 13 : .15 .15 .15 15 15 16 16 16 16 17 17 : .19 19 19 20 .20 20 21 21 .22 22 22 23 23 : .24 24 24 25 .25 26 .26 27 27 28 29 .30 Thang Long University Library 20 22 .22 23 19 19 .20 21 .21 .23 10 .11 Thang Long University Library