神经肌电图对隐神经卡压征诊断价值
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摘要
目的探讨神经肌电图对隐神经卡压征诊断的价值。方法对57例隐神经卡压征患者和20名正常自愿者行神经肌电图检查,分别记录隐神经膝段和踝段的感觉传导速度、潜伏期及波幅,将检查结果进行对比分析。结果隐神经卡压征患者,隐神经感觉传导速度减慢,潜伏期延长,波幅降低,神经节段性损害具有特征性意义。结论神经肌电图检查能为隐神经卡压征提供诊断依据,还可以明确神经损害程度,为治疗方式提供依据。
Objective To evaluate the diagnostic value of electromyography in entrapment of saphenous nerve. Methods Neurological electromyography was performed on 57 patients with saphenous nerve entrapment syndrome and 20 healthy volunteers. The sensory conduction velocity,latency and amplitude of the knee and ankle segments were recorded respectively. The results were compared between two different groups of people. Results The sensory conduction velocity of the recessed nerve was slower,the latent period was longer,the amplitude lower,and the segmental lesion of the nerve had more characteristics in the patients with saphenous nerve entrapment syndrome than those in the healthy volunteers. Conclusion Electromyography examination can provide a diagnostic basis for saphenous nerve entrapment syndrome,and identify the extent of nerve damage and provide a basis for treatment.
Objective To evaluate the diagnostic value of electromyography in entrapment of saphenous nerve. Methods Neurological electromyography was performed on 57 patients with saphenous nerve entrapment syndrome and 20 healthy volunteers. The sensory conduction velocity,latency and amplitude of the knee and ankle segments were recorded respectively. The results were compared between two different groups of people. Results The sensory conduction velocity of the recessed nerve was slower,the latent period was longer,the amplitude lower,and the segmental lesion of the nerve had more characteristics in the patients with saphenous nerve entrapment syndrome than those in the healthy volunteers. Conclusion Electromyography examination can provide a diagnostic basis for saphenous nerve entrapment syndrome,and identify the extent of nerve damage and provide a basis for treatment.
引文
1董福慧,郭振芳,张春美,等.皮神经卡压综合征[M].北京:科学技术出版社,2002:154-255.
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3 卢祖能,曾庆杏,李承曼,等.实用肌电图学[M].北京:人民卫生出版社,2000:318-320.
4 党静霞.肌电图诊断与临床应用[M].北京:人民卫生出版社,2005:88.
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6 House JH,Ahmed K. Entrapment neuropathy of the infrapatellar branch of the saphenous nerve[J]. Am J Sports Med,1977,5(5):217-224.
7 Prinz RA,Nakamura-Pereira M,De-Ary-Pires B,et al. Axonal and extracellular matrix responses to experimental chronic nerve entrapment[J]. Brain Res,2005,1044(2):164-175.
8 张芾男,董福慧,张卓男,等.单纯减压对皮神经卡压作用的实验研究[J].中国骨伤,2007,20(5):289-291.
9 梁朝,林新晓,闫立,等.皮针治疗隐神经髌下支卡压86例[J].中国骨伤,2003,16(10):244.
10 付强,谷嫒嫒,杨占民,等.超声引导下隐神经及其分支阻滞:操作技巧与临床应用[J].中国超声医学杂志,2013,29(9):855-857.
11 汪来煜.隐神经射频毁损疗法治疗膝关节骨性关节炎顽固性内侧痛350例临床观察[J].现代医药卫生,2011,27(8):1183-1184.
12 Mackinnon SE. Pathophysiology of nerve compresson[J]. Hand Clin,2002,18(2):231-241.
2 陈德松,曹光富.周围神经卡压性疾病[M].上海:复旦大学出版社,2001:181.
3 卢祖能,曾庆杏,李承曼,等.实用肌电图学[M].北京:人民卫生出版社,2000:318-320.
4 党静霞.肌电图诊断与临床应用[M].北京:人民卫生出版社,2005:88.
5 王震寰,秦登友.隐神经卡压征的临床解剖学研究[J].中国矫形外科杂志,2002,9(7):699-701.
6 House JH,Ahmed K. Entrapment neuropathy of the infrapatellar branch of the saphenous nerve[J]. Am J Sports Med,1977,5(5):217-224.
7 Prinz RA,Nakamura-Pereira M,De-Ary-Pires B,et al. Axonal and extracellular matrix responses to experimental chronic nerve entrapment[J]. Brain Res,2005,1044(2):164-175.
8 张芾男,董福慧,张卓男,等.单纯减压对皮神经卡压作用的实验研究[J].中国骨伤,2007,20(5):289-291.
9 梁朝,林新晓,闫立,等.皮针治疗隐神经髌下支卡压86例[J].中国骨伤,2003,16(10):244.
10 付强,谷嫒嫒,杨占民,等.超声引导下隐神经及其分支阻滞:操作技巧与临床应用[J].中国超声医学杂志,2013,29(9):855-857.
11 汪来煜.隐神经射频毁损疗法治疗膝关节骨性关节炎顽固性内侧痛350例临床观察[J].现代医药卫生,2011,27(8):1183-1184.
12 Mackinnon SE. Pathophysiology of nerve compresson[J]. Hand Clin,2002,18(2):231-241.