59例腓总神经麻痹临床及电生理特点分析.pdfVIP

404· 军 医 进 修 学 院 学 报 2007 Dec ． · Acad J PLA Postgrad Med Sch 一 ‘28(6) Sch 59例腓总神经麻痹临床及电生理特点分析 陈朝晖 ，郭晓玲 ，刘淑贤 ，黄旭升 (1．解放军总医院神经内科，北京 100853；2．解放军266医院神经内科，河北承德 067000) [摘要] 目的：探讨腓总神经麻痹的临床及电生理特点。方法：总结59例80侧腓总神经麻痹临床及电生理 资料，并与43例正常人资料对照进行统计学处理。结果：59例80侧腓总神经麻痹患者胫骨前肌、趾短伸肌肌电 图结果显示失神经电位。腓总神经神经传导速度减慢，运动传导速度胭上-胭下段为(45．37±12．53)m／s，胭下．踝 段传导速度(39．53±7．17)m／s，与健康对照组比较分段传导潜伏期延长、波幅降低、传导速度减慢，统计学上差别 均有显著意义(P0．001或P0．05)。结论：神经电生理检查为诊断腓总神经麻痹的可靠手段，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。 [关键词]腓总神经；麻痹；神经传导；肌电描记术 [中图分类号]R 685．9 [文献标识码]A [文章编号]1005—1139(2007)06-0404-03 Clinical and electrophysiological study on peroneal nerve palsy CHEN Zhao—huii GUO Xiao—lingz LlU Shu—xian1 ， ． ． HUANG Xu—shengi(、1．Department of Neurology，PLA General Hospital，Beijing 100853，China；2．Department of Neurology，P 266 Hospital，Chengde 067000， China) [ABSTRACT] Objective：To investigate and review the clinical and electrophysiologi【cal characteristics of peroneal nerve pal- sy．Methods：The clinical and electrophysiological data of 59 cases including 80 sides of peroneal nerve palsy were collected． And the electrophysiological data for 43 healthy controls were also collected．Th e data were analyzed statistically．Results：Dener- ration potentials were detected in tibialis anterior and musculus extensor digitorum brevis on 59 patients．The average peroneal nerve conduction velocity were decreased，with motor conduction velocity(MCV)from above knee to below knee(45．37± 12．53)m／s an