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

Discriminant Analysisof Neural Electromyography of 330 Cases of

Peripheral NerveCompression and Cervical Spondylotic Radiculopathy

苻晓慧  黄 慜  杨 萍

（东莞东华医院，广东  东莞，523110）

中图分类号：R338    文献标识码：A    文章编号：1674-7860(2015)24-0027-02    证型：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2012年5月—2015年5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

【Abstract】Objective: 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.

【Keywords】Peripheral nerve compression; Cervical spondyloticradiculopathy; Electromyography; Differential diagnosis

doi:10.3969/j.issn.1674-7860.2015.24.012

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