摘要
目的分析腓总神经断伤与卡压的电生理特点,为临床早期诊断与手术治疗提供依据。方法对22例腓总神经断伤与38例腓总神经卡压伤患者电生理资料进行分析,22例腓总神经断伤为刀砍伤,均进行手术修复证实;38例腓总神经卡压均为腓总神经在腓骨颈处非外伤性卡压所致。结果 22例腓总神经断伤的神经运动传导均未能引出,手术后恢复时间长;38例腓总神经卡压多表现为神经运动传导速度减慢,经非手术治疗效果好。结论神经电生理检查为诊断腓总神经损伤的可靠手段,可早期确诊及准确定位神经受损部位及其程度,为指导临床治疗、判断预后及鉴别诊断提供可靠依据。
To investigate the electrophysiological characteristics of peroneal neurotmesis and peroneal com- pression, and provide clinical evidence for diagnosis and surgical treatment in early phase. Methods The manifestation of electrophysiological data of 22 patients with peroneal neurotmesis and 38 patients with peroneal compression were analyzed. were The peroneal neurotmesis were confirmed by operation in the 22 patients. The peroneal compression patients damaged by the non-traumatic edema oppression. Results Peroneal nerve motor conduction velocity cannot be recorded in the 22 patients with peroneal neurotmesis, and their postoperative recovery time were significantly long. There were dysfunctions of nerve motor conduction in the 38 patients with peroneal compression. Non-operative treat- ment was also effective. Conclusion The electrophysiological examination may provide reliable evidence for clinical diagnosis on the early stage and surgical treatment.
出处
《中国当代医药》
2013年第12期33-34,共2页
China Modern Medicine
关键词
腓总神经断伤
卡压
电生理检测
神经传导
Peroneal neurotmesis
Peroneal compression
Electrophysiological examination
Nerve conduction
