盆底神经电生理联合检查方法正常值分析  

Normal value analysis of combined pelvic floor neuroelectrophysiological examination methods

作　　者：王珏[1] 何帆[1] 庄丽 徐亮[1] 胡妙芝[1] 张玉新[1] 周媛媛[1] 吕锦瑜[2] 胡志刚[2] Wang Jue;He Fan;Zhuang Li;Xu Liang;Hu Miaozhi;Zhang Yuxin;Zhou Yuanyuan;Lv Jinyu;Hu Zhigang(Department of Function,Jiangsu Province Hospital of Traditional Chinese Medicine,Nanjing City,Jiangsu Province,210029,China;Department of Orthopedics and Traumatology,Jiangsu Province Hospital of Traditional Chinese Medicine,Nanjing City,Jiangsu Province,210029,China)

机构地区：[1]江苏省中医院功能科,南京市210029 [2]江苏省中医院,骨伤科南京市210029

出　　处：《现代电生理学杂志》2022年第3期144-148,共5页Journal of Modern Electrophysiology

摘　　要：目的:探讨电生理盆底神经功能联合检查的正常值数据,为该类检查方法的正常值数据库建立提供依据。方法:选取2017年8月至2021年12月于江苏省中医院肌电图室检查的健康志愿者46例,所有研究对象实施球海绵体肌反射(BCR)检查、阴部神经体感诱发电位(P-SEP)检查、胫神经体感诱发电位(T-SEP)检查、阴部运动诱发电位(P-MEP)检查、胫神经运动诱发电位检查(F-MEP)、阴部神经皮肤交感反射(P-SSR)检查、正中神经皮肤交感反射(M-SSR)检查。分别对正常值做探讨研究,对收集的正常值做统计分析。结果:P-MEP和F-MEP潜伏期和波幅比较,差异均有统计学意义(P<0.05)。P-SEP和T-SEP潜伏期差异有统计学意义(P<0.05),波幅差异无统计学意义(P>0.05)。P-SSR和M-SSR潜伏期差异有统计学意义(P<0.05),波幅差异无统计学意义(P>0.05)。结论:MEP、SEP和SSR用不同刺激方法,正常值结果不同,说明神经传导的途径是不同的,联合检查结果对盆底功能障碍的诊断有定位意义,是目前神经功能损伤最佳定位方法之一,对患者治疗方法的选择和预后判断有很大的帮助。Objective:To explore the normal value data of combined electrophysiological examination of pelvic floor nerve function,and to provide basis for the establishment of normal value database of such examination methods.Methods:A total of 46 healthy volunteers examined in the electromyography room of Jiangsu Province Hospital of Traditional Chinese Medicine from August 2017 to December 2021 were enrolled in the study.All subjects underwent bulbocavernous reflex(BCR),pudendal nerve somatosensory evoked potential(P-SEP),tibial nerve somatosensory evoked potential(T-SEP),pudendal motor evoked potential(P-MEP),foot motor evoked potential(F-MEP),pudendal never skin sympathetic reflex(P-SSR)examination,median nerve stimulation skin sympathetic reflex(M-SSR)examination.Results:There were significant differences in latency and amplitude between P-MEP and F-MEP(P<0.05).There was significant difference for latency between P-SEP and T-SEP(P<0.05),without significant difference for amplitude between P-SEP and T-SEP(P>0.05).There was significant difference for latency between P-SSR and M-SSR(P<0.05),but no significant difference for amplitude between P-SSR and M-SSR(P>0.05).Conclusion:MEP,SEP and SSR are stimulated by different methods,and the results of normal values are different,which indicates that the pathways of nerve conduction are different.The results of combined examination have localization significance for the diagnosis of pelvic floor dysfunction.It is one of the best localization methods for pelvic floor nerve function injury at present.It is very helpful for the selection of treatment methods and prognosis judgment.

关 键 词：电生理学 诱发电位 运动 诱发电位 躯体感觉 球海绵体肌反射 皮肤交感反射 

分 类 号：R711.5[医药卫生—妇产科学]