国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2012年
10期
1410-1413
,共4页
洪翔%覃鹏飞%李明%高展
洪翔%覃鵬飛%李明%高展
홍상%담붕비%리명%고전
腓总神经病变%传导阻滞%短节段性神经传导检测法%腓骨小头下至腓骨小头上%肌电图
腓總神經病變%傳導阻滯%短節段性神經傳導檢測法%腓骨小頭下至腓骨小頭上%肌電圖
비총신경병변%전도조체%단절단성신경전도검측법%비골소두하지비골소두상%기전도
Common peroneal nerve injury%Conduction block%Short segment stimulation method%From inferior to superior part of the capitulum fibulae%Electromyography
目的 探讨神经电生理检查对腓总神经腓骨小头处损害患者的定位诊断价值.方法 应用常规的神经电生理检测法:腓总神经运动传导、腓浅神经感觉神经传导、腓总神经支配肌肉的肌电图；特殊检测法:短节段性神经传导检测法,共检测了30例经临床诊断并进一步做神经电生理检查以确诊腓总神经腓骨小头处病变的患者.短节段性神经传导检测法重点检测腓总神经运动传导腓骨小头下、腓骨小头上,以寻找其具体损害部位.结果 ①腓总神经病变组中有28例出现腓总神经在腓骨小头下至腓骨小头上段运动神经传导速度减慢;②腓总神经腓骨小头下段至腓骨小头上段短节段性神经传导检测结果显示具体病变部位多数集中在腓骨小头上下2 -6 cm内;③腓总神经在腓骨小头处病变者并非均有胫骨前肌、踇长伸肌肌电图的异常.结论 短节段性神经传导检测法在确定腓总神经在腓骨小头处的具体损害部位时有较高的定位诊断价值,而常规的腓浅神经感觉传导及肌电图异常能协助诊断.
目的 探討神經電生理檢查對腓總神經腓骨小頭處損害患者的定位診斷價值.方法 應用常規的神經電生理檢測法:腓總神經運動傳導、腓淺神經感覺神經傳導、腓總神經支配肌肉的肌電圖；特殊檢測法:短節段性神經傳導檢測法,共檢測瞭30例經臨床診斷併進一步做神經電生理檢查以確診腓總神經腓骨小頭處病變的患者.短節段性神經傳導檢測法重點檢測腓總神經運動傳導腓骨小頭下、腓骨小頭上,以尋找其具體損害部位.結果 ①腓總神經病變組中有28例齣現腓總神經在腓骨小頭下至腓骨小頭上段運動神經傳導速度減慢;②腓總神經腓骨小頭下段至腓骨小頭上段短節段性神經傳導檢測結果顯示具體病變部位多數集中在腓骨小頭上下2 -6 cm內;③腓總神經在腓骨小頭處病變者併非均有脛骨前肌、踇長伸肌肌電圖的異常.結論 短節段性神經傳導檢測法在確定腓總神經在腓骨小頭處的具體損害部位時有較高的定位診斷價值,而常規的腓淺神經感覺傳導及肌電圖異常能協助診斷.
목적 탐토신경전생리검사대비총신경비골소두처손해환자적정위진단개치.방법 응용상규적신경전생리검측법:비총신경운동전도、비천신경감각신경전도、비총신경지배기육적기전도；특수검측법:단절단성신경전도검측법,공검측료30례경림상진단병진일보주신경전생리검사이학진비총신경비골소두처병변적환자.단절단성신경전도검측법중점검측비총신경운동전도비골소두하、비골소두상,이심조기구체손해부위.결과 ①비총신경병변조중유28례출현비총신경재비골소두하지비골소두상단운동신경전도속도감만;②비총신경비골소두하단지비골소두상단단절단성신경전도검측결과현시구체병변부위다수집중재비골소두상하2 -6 cm내;③비총신경재비골소두처병변자병비균유경골전기、무장신기기전도적이상.결론 단절단성신경전도검측법재학정비총신경재비골소두처적구체손해부위시유교고적정위진단개치,이상규적비천신경감각전도급기전도이상능협조진단.
Objective To discuss the neural electrophysiological localization diagnosis on patients with common peroneal nerve injury in capitulum fibulae.Methods The conventional neural electrophysiological method:MNCV of common peroneal nerve,SNCV of superficial peroneal nerve,EMG of the muscles controlled hy common peroneal nerve.Special method:short segment stimulation method; to detect the clinically diagnosed 30 patient with connon peroneal nerve injury in capitulum fibulae.The method of short segment stimulation emphasize on both MNCV of superior and inferior part of capitulum fibulae to look for specific site ofthe injury.Results ①The 28 patients with the injury of common peroneal nerve showed reduction in MNCV of common peroneal nerve from inferior to superior part of the capitulum fibulae.②Short segment stimulation method of common peroneal nerve from inferior to superior part of the capitulum fibulae showed the most specific site of the lesion were ranged 2 ～ 6 cm between superior and inferior part of the capittlum fibulae.③Patients with common peroneal nerve injury in capitulum fibulae not all involve the EMG abnormity in anterior tibial muscle and extensor digitorum longus.Conclusions Short segment stimulation method shows higher loealization diagnostic value in patients with common peroneal nerve injury in capitulum fibulae and conventional abnormity in SNCV of superficial peroneal nerve and EMG is helpful in diagnosis.
