神经肌电图检测对分娩性臂丛神经损伤的临床诊断价值  

Clinical Application of Nerve Electromyogram in the Evaluation of Subjects with Obstetric Brachial Plexus Palsy Injury

作　　者：孙海峰[1] 刘南平[1] 沙彦妮[1] 周立明[1] 杨平[1] 

机构地区：[1]宁夏医学院附属医院神经电生理科,银川750004

出　　处：《宁夏医学院学报》2008年第5期584-586,共3页Journal of Ningxia Medical College

摘　　要：目的探讨神经肌电图评估分娩性臂丛神经损伤的临床价值。方法应用keypoint肌电-诱发电位仪对40例分娩性臂丛神经损伤患儿进行检测。测定臂丛神经主要支配肌肉的肌电图和神经传导速度,确定损伤部位、程度并评价预后。结果40例分娩性臂丛神经损伤患儿根据肌电图结果,按损伤部位分类:上干型12例,上中干型8例,下干型6例,中下干型6例,全臂丛8例。按损伤程度分类:完全损伤1例,不完全损伤39例,其中,严重损伤8例,轻度损伤31例。结论神经肌电图对分娩性臂丛神经损伤的客观定位、判断预后具有重要价值。Objective To explore the values of electromyography to examine obstetric brachial plexus palsy（OBPP）. Methods Nerve EMG was detected in 40 neonates with obstetric brachial plexus palsy by the the application keypoint of myoelectricity evoked potential meter. Results Among 40 cases, according to the location of injuries, there were 12 cases of upper tnmk injuries, 8 cases of upper and middle trunk injuries, 6 cases of middle and lower trunk injuries, 6 cases of lower trunk injuries, and 8 cases of whole brachialplexus injuries. On the other and, according to the severity of injuries, there were one case of complete injuries and 39 cases of incomplete injuries which included 8 cases of severe injuries and 31 cases of slight injuries. Conclusion Electromyography is the reliable method to identify the location and severity of brachial plexus injuries, and this examination is necessary to diagnose birth injuries with great clinical values.

关 键 词：分娩性臂丛神经损伤 肌电图 神经传导速度 

分 类 号：R741.044[医药卫生—神经病学与精神病学] R748[医药卫生—临床医学]