不典型肌源性损害的诊断指标分析  

The Analysis of Diagnostic Parameters of Non-typical Myogenic Lesion

作　　者：吴雪良[1] 赵合庆[1] 戴永萍[1] 包仕尧[1] 

机构地区：[1]苏州大学附属第二医院神经内科,苏州215004

出　　处：《苏州大学学报（医学版）》2002年第3期297-298,共2页Suzhou University Journal of Medical Science

摘　　要：目的　探讨不典型肌源性损害各诊断指标的意义。方法　回顾分析 35例临床表现为肌无力、肌肉酸痛、全身不适而作肌电图检查的患者 ,对肌酸磷酸激酶 (CPK)值及安静状态、轻收缩、重收缩时的三角肌、股四头肌肌电图结果重新进行分析。结果　 6例患者CPK值、肌电图无异常。 2 9例患者呈不典型肌源性损害 ,安静时 8例患者出现自发电位 ;轻收缩时均有运动单元电位 (MUP)时限下降 ,波幅降低 ,波形细小 ,肌电声音较细碎 ;重收缩时7例呈病理干扰相 ,2 2例呈混合相～干扰相 ;CPK值轻度升高或正常偏高。结论　肌电图表现、CPK值结合临床表现是判断不典型肌源性损害的重要手段。Objective To explore the significance of different diagnostic parameters of non-typical myogenic lesion.Methods The electromyography(EMG), CPK in 35 patients with the representations of myasthenia, muscle ache, head and ears discomfort were retrospected. The EMG results of peaceful state, light shrink, reshrink of the deltoid and thigh quadriceps were reanalized.Results Six patients showed no abnormal symptoms. Twenty nine patients showed non-typical myogenic lesions. During quiet state, 8 patients showed spontaneous potential; During light shrinkage state all patients showed time limit of MUP descending, amplitude depression, thin wave shape and quite thin and broken EMG voice at the time of light shrink; 7 patients pathological disturbance; 22 patients mixed looks or disturbed looks; CPK value showed slight increase or being in high extremity of the normal range. Conclusion The combination of EMG,CPK and clinical symptoms are important in diagnosing the non-typical myogenic lesion.

关 键 词：不典型肌源性损害 肌电图 肌酸磷酸激酶 

分 类 号：R746.04[医药卫生—神经病学与精神病学]