中国医药科学2016，Vol.6Issue(3)：21-24,32,5.
肌电图应用于辅助诊断腰椎间盘突出症的临床分析
Clinical analysis of application of electromyography in aided diagnosis of lumbar disc herniation
柳三凤 1王汉龙 1翁文水 1柯晓斌 1刘春华 1刘联群 1陈长贤1
作者信息
- 1. 福建中医药大学附属泉州市正骨医院，福建泉州362000
- 折叠
摘要
Abstract
Objective To explore value of nerve electrophysiology in clinical application of lumbar disc herniation. Methods Results of nerve electrophysiology examination of 48 patients with lumbar disc herniation in our hospital were retrospectively analyzed. They were received detections of peripheral nerve conduction, F wave and H reflex and electromyography examination. Results In 48 cases, 35 were with abnormal nerve conduction and the abnormal rate was 73%. In detection of peripheral nerves, 381 nerves were detected (93 tibial nerves in the two lower extremities, 96 common peroneal nerves, 96 superficial peroneal nerves, 96 sural nerves) and the abnormal rate was 21 %(81/381). In 48 cases receiving electromyography examination, abnormality occurred in 23 cases and the abnormal rate was 48%. 532 muscles were examined and 91 were with muscular abnormality. The abnormal rate was 17%. 7 patients were with L5, S1 neurogenic injuries accounting for 15% (7/48). L5 nerve root lesions accounted for 23%(11/48). L4 and L5 nerve root lesions accounted for 17% (8/48). L4, L5 and S1 nerve root lesions accounted for 19%(9/48). L3, L4, L5 nerve root lesions accounted for 6%(3/48). L3, L4, L5, S1 nerve root lesions accounted for 2%(1/48). Abnormal rate during latent period of F wave was closely related to location of lumbar nerve root. When root lesions were involved in L4 and L5 nerves, abnormal rate of F wave conduction was 73%(35/48) which was a little bit higher. Abnormal rate during latent period of H reflex was closely related to sacral nerve root. In 48 patients, H reflex of 23 patients was not induced. The abnormal rate reached 48%(23/48). Conclusion Nerve electrophysiology can not only determine locations of nerve roots and nerve functions but also identity location and ranges of lesions, which is helpful for differential diagnosis and prognosis judging. Thus, it is an important method for aided diagnosis of lumbar disc herniation and a subjective index for judging degrees of nerve lesions.关键词
肌电图/神经电生理/腰椎间盘突出症/腰骶神经根病Key words
Electromyography/Nerve electrophysiology/Lumbar disc herniation/Lumbosacral radiculopathy分类
医药卫生引用本文复制引用
柳三凤,王汉龙,翁文水,柯晓斌,刘春华,刘联群,陈长贤..肌电图应用于辅助诊断腰椎间盘突出症的临床分析[J].中国医药科学,2016,6(3):21-24,32,5.
