摘要
对29例神经肌肉疾病(包括多种肌营养不良,多发性肌炎,多种神经原性肌肉病变与DMD可能递体)的120处随意肌进行了临床与超声检查。其中20块受检肌,在超声检查的相应部位,又接受了肌活检。结果提示:1.除结缔组织增生与脂肪浸润外,肌纤维坏变与间质内细胞浸润,也是超声图像异常的病理基础。2.超声可检出肌力尚未减退的病肌。3.超声检查可以帮助随诊病况,但敏感性不强。4.或有助于初选DMD递体,其阳性率待定。
A clinical and ultrasounic examination was made on 120 sites of voluntary muscle from 29 cases with neuromuscular diseases,including varied muscular dystrophy,polymyositis,diversified neuro-genic myopathy and DMD possible carrier.20 muscle biopsies from above mentioned cases were taken at the same portions where ultrasounic examinations were made.The result suggested that: 1.In addition to connective tissue proliferation and fat infiltration,muscle fiber necrosis and interstitial inflammatory cell infiltration were also the basis of abnormal scan.2.It was able to pick upearly diseased muscle,when its muscle power was still in the state of grade 5,but it was difficult to see the cause of diseased muscle by using this scanning.3.The scan abnormalities went up along with the disease made progress,indicating that the examination had certain follow-up significance,but its sensitivity was not high 4.Ultrasounic examination may be useful for primary election of DMD carrier,but its positive rate needs to be studied further.
出处
《中国神经精神疾病杂志》
CAS
CSCD
北大核心
1992年第1期12-14,共3页
Chinese Journal of Nervous and Mental Diseases
关键词
肌营养不良
多发性肌炎
超声检查
Muscular dystrophy Poly-myositis Polyneuropathy Spinal muscular atrophy Ultrasounic examination
