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周围神经卡压与神经根型颈椎病330例 神经肌电图鉴别分析
作者:中医临床研究   来源:中医临床研究   发布时间:2015-10-19


周围神经卡压与神经根型颈椎病330

神经肌电图鉴别分析

Discriminant Analysisof Neural Electromyography of 330 Cases of

Peripheral NerveCompression and Cervical Spondylotic Radiculopathy


苻晓慧  黄   杨 萍

(东莞东华医院,广东  东莞,523110)


类号:R338    献标识码:A    文章编号:1674-7860(2015)24-0027-02    :ABG


【摘  要】目的:探讨周围神经卡压(PNC)与神经根型颈椎病(CSR)采用神经肌电图鉴别效果。方法:选取临床诊断为CSR的患者100例,及疑为PNC和其他疾病的患者230例,均为我院20125—20155月收治,均行神经肌电图检查。结果:100例临床诊断为CSR的患者,经肌电图检查,与CSR符合41例,占41.0%23例为各种PNC,占23.0%CSR合并PNC2例,占2.0%;其他疾病7例,占7.0%;检测正常27例,占27.0%。反之,经神经肌电图检查按CSR诊断18例,占7.8%,为从疑为PNS和其他疾病的230例患者中检出。此18例中,胸廓出口综合征6例,占33.3%;腕管综合征1例,占5.6%,旋前圆肌综合征1例,占5.6%;属周围神经卡压,共8例,占44.4%。其他手麻、末梢神经炎、臂丛神经损伤各1例,各占5.6%;上或(和)下肢肌无力2例,占11.1%;运动神经元性疾病5例,占27.8%。结论:周围神经卡压与神经根型颈椎病采用神经肌电图检查,鉴别诊断效果显著,可为临床治疗提供准确的参考依据。

【关键词】周围神经卡压;神经根型颈椎病;神经肌电图;鉴别诊断

AbstractObjective: To investigate the effects of neuralelectromyography (EMG) in the differential diagnosis of peripheral nervecompression (PNC) and cervical spondylotic radiculopathy (CSR). Methods: 100cases of CSR patients and 230 cases of suspected PNC and other diseasespatients admitted to our hospital from May 2012 to May 2015 underwentelectromyography. Results: In the 100 patients with a clinical diagnosis of CSR,through the EMG, 41 cases had CSR, accounting for 41.0%; 23 cases had PNC, accountingfor 23.0%; 2 cases had CSR and PNC, accounting for 2.0%; 7 cases had otherdiseases, accounting for 7.0%; 27 cases had no problems, accounting for 27.0%.On the other hand, through the electromyography, 18 cases in the 230 cases whowere suspected as PNS and other diseases patients were diagnosed as CSR patients,,accounting for 7.8%. In all the 18 cases, 6 cases had thoracic outlet syndrome,accounting for 33.3%; 1 case had carpal tunnel syndrome, accounting for 5.6%, 1case had pronator syndrome, accounting for 5.6%; 8 cases had PNC, accountingfor 44.4%. 1 case had hand numbness, 1case had peripheral neuritis, 1 case had brachialplexus injury, each of them accounting for 5.6%; 2 cases had upper or lowerlimb weakness, accounting for 11.1%; 5 cases had motor neuron disease,accounting for 27.8%. Conclusion: The differential diagnosis effect of neuralEMG on PNC and CRS is remarkable and it  can provide a reference for clinicaltreatment.

KeywordsPeripheral nerve compression; Cervical spondyloticradiculopathy; Electromyography; Differential diagnosis

doi:10.3969/j.issn.1674-7860.2015.24.012


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