肌萎缩侧索硬化与颈椎病鉴别诊断的临床研究  

A clinical study of the differential diagnosis between amyotrophic lateral sclerosis(ALS) and cervical spondylotic radiculopathy (CSR)/cervical spondylotic myelopathy(CSM)

作　　者：姜凤英[1,2] 丁铭臣[1,2] 唐俊英 薛一帆[1,2] 邢华芳 

机构地区：[1]首都医科大学宣武医院神经内科 [2]北京医科大学第二临床医学院

出　　处：《北京医学》1997年第3期135-138,共4页Beijing Medical Journal

摘　　要：为尽早对肌萎缩侧索硬化（ＡＬＳ）与颈椎病做出鉴别诊断，把９０例临床资料分为ＡＬＳ与脊髓型颈椎病（ＣＳＭ）和神经根型颈椎病（ＣＳＲ）三组，采用肌萎缩、肌束颤、肢体疼痛／麻木、感觉障碍等症状构成多个鉴别诊断条件，分四步实施鉴别诊断的敏感性为９８％，特异性为８６．５％。提示，详细的临床神经系统检查，临床症状和体征的综合分析，可对ＡＬＳ作出基本可靠的诊断。In order to make the differential diagnosis earlier between ALT and CSM/CSR, we provided a simple four step program for diagnosing ALS. The results are 98% sensitivity and 86.5% specificity. Ninety patients were devided into three groups:(1)ALS(53 cases); (2) CSM (14 cases);(3)CSR(23 cases). A simple four step program that consisted of muscle wasting, fasciculus tremor limbs pain/numbness and sensory loss was used. Therefore, careful clinical nervous system tests and comprehensive analyses of clinical symptoms and signs may make a reliable diagnosis of ALS.

关 键 词：肌萎缩 侧索硬化 脊髓型 颈椎病 神经根型 诊断 

分 类 号：R746.404[医药卫生—神经病学与精神病学] R681.550.4[医药卫生—临床医学]