CAJ | 학술논문

目的：研究青壮年颈椎综合征患者的肌电图与神经传导特点。方法：取80例青壮年颈椎综合征患者，排除外伤、感染、发育异常者。其中男56例，女24例；年龄35～50岁，平均43．8＋2．4岁；所有患者均已经临床，X线、CT 或MRI检查诊断为颈椎退行性变或颈椎病。用丹迪肌电图仪进行神经传导与肌电图检查。记录阳性例数和计算百分比，并对结果进行分型。结果：临床和影像学分型中，52例颈椎退行性变和颈型颈椎病患者有少量针极肌电图异常。18例神经根型患者针极肌电图均异常，神经传导基本正常。8例椎动脉型中也可见针极肌电图异常，而神经传导基本正常。2例脊髓型中针极肌电图均异常，神经传导有运动神经的CMAP波幅降低，F波传导延长。结论：青壮年中颈椎退行性变和颈型最多、神经根型、椎动脉型和脊髓型少见。肌电图和神经传导检查在鉴别颈椎退行性变和累及神经的颈椎病中有重要作用。
목적：연구청장년경추종합정환자적기전도여신경전도특점。방법：취80례청장년경추종합정환자，배제외상、감염、발육이상자。기중남56례，녀24례；년령35～50세，평균43．8＋2．4세；소유환자균이경림상，X선、CT 혹MRI검사진단위경추퇴행성변혹경추병。용단적기전도의진행신경전도여기전도검사。기록양성례수화계산백분비，병대결과진행분형。결과：림상화영상학분형중，52례경추퇴행성변화경형경추병환자유소량침겁기전도이상。18례신경근형환자침겁기전도균이상，신경전도기본정상。8례추동맥형중야가견침겁기전도이상，이신경전도기본정상。2례척수형중침겁기전도균이상，신경전도유운동신경적CMAP파폭강저，F파전도연장。결론：청장년중경추퇴행성변화경형최다、신경근형、추동맥형화척수형소견。기전도화신경전도검사재감별경추퇴행성변화루급신경적경추병중유중요작용。
Objective:To explore the characters of electromyography and nerve conduction in cases of young and adult cervical spondylosis syndrome.Methods:80 cases of young and adult cervical retrogression or spondylosis were studied,exclusived that were injured,infected,or maldevelopment cases.56 males and 24 females, age 35 -50, average 43.8 +2.4 years old.Check them with electromyography&nerve conduction study.Record positive cases ,and calculate percentage of each type.Results:52 cases of cervical retrogression and neck type are rare positive in electromyography and all negative in nerve conduction .18 cases of radiculopathy are electromyography positive and nerve conduction negative .8 cases of vertebral artery type could be seen posi-tive in electromyography,while negative in nerve conduction.2 cases of medulla type are all positive in electromyography and nerve conduction.Conclusion:Cervical retrogression & neck type is mostly seen in young and adult cervical syndrome .Radicu-lopathy ,vertebral artery and myelopathy type are rare.Electromyography & nerve conduction results are important in differenti-ate cervical spondylosis syndrome.