脊髓型颈椎病与肌萎缩性侧束硬化的电生理对比研究  

Comparative study on electrophysiological examination between cervical spondylotic myelopathy and sclerosis lateralis amyotrophica

作　　者：齐华光[1] 程永贤[1] 郑丽萍[1] 王雨晨[1] 员阳[1] 

机构地区：[1]西安市红十字会医院功能检查科,710054

出　　处：《美中国际创伤杂志》2007年第2期16-18,共3页U.S.Chinese International Journal of Traumatology

摘　　要：目的：探讨电生理检查对脊髓型颈椎病（CSM）与肌萎缩性侧束硬化（ALS）的签别诊断价值。方法：对124例其中52例脊髓型颈椎病和72例肌萎缩性侧束硬化症进行上、下肢肌、胸锁乳突肌肌电图检查，及C5～C8皮节体感诱发电位（DSEP）检查。结果：肌电图（EMG）检查脊髓型颈椎病上、下肢肌、胸锁乳突肌肌电图异常率分别为54％、8％、8％；肌萎缩性侧束硬化异常率分别为97％、89％、69％。DSEP检查脊髓型颈椎病异常率为92％；肌萎缩性侧束硬化异常率为l％，差异具有非常显著性意义（P〈0、001）。结论：选择上、下肢肌、胸锁乳突肌肌电图检查及C5-C8皮节体感诱发电位检查应作为两种病的常规电生理检查项目，可提高两种病的鉴别诊断率。To explore the differentiate diagnosis between the cervical spondylotic myelopathy（CSM） and amyotropic lateral sclerosis （ALS） by electrophysiological examination. Methods： A total of 124 cases, including 52 cases of CSM and 72 cases of ALS, underwent EMG and C5-C8 DSEP tests, The examed muscles included upper and lower extremities as well as sternocleidomastoid muscles, Results： The EMG abnormal rate on above-mentioned muscles was 54%, 8% and 8% respectively in CSM patients and was 97%, 89% and 69% in ALS patients. Abnormal rate of DSEP test was 92% in CSM patients and was 1% in ALS patients. There was a significant difference （P〈0.001） between CSM and ALS, Conclusion： The EMG and C5-C8 DSEP can largely improve the differentiate diagnosis rate of these two disorders, therefore it should be the routine examination for CSM and ALS patients.

关 键 词：脊髓型颈椎病 肌萎缩性侧束硬化 肌电图 皮节体感诱发电位 

分 类 号：R741.044[医药卫生—神经病学与精神病学]