臂叢神經(jīng)損傷及其診斷方法比較

頁(yè)數(shù) 7 字?jǐn)?shù) 4760

摘要：臂叢神經(jīng)損傷是常見(jiàn)的周圍神經(jīng)損傷性病癥，早期診斷對(duì)其治療和預(yù)后都極為重要。然而臂叢神經(jīng)損傷情況復(fù)雜，診斷存在一定困難。本文簡(jiǎn)要介紹了臂叢神經(jīng)損傷的病因和分類，比較了常見(jiàn)的診斷臂叢神經(jīng)損傷的方法，分析了他們各自的優(yōu)缺點(diǎn)，結(jié)論認(rèn)為目前階段體格檢查和電生理檢查仍應(yīng)為臂叢神經(jīng)損傷的主要診斷手段，而影像學(xué)方法有相當(dāng)?shù)陌l(fā)展前景。
關(guān)鍵詞：臂叢損傷,神經(jīng)肌電圖,運(yùn)動(dòng)及感覺(jué)神經(jīng)傳導(dǎo)速度,影象學(xué)

Abstract: Injuries of the brachial plexus are frequently observed in the cases of peripheral never injuries. Diagnosis in early period is extremely important for the treatment and prognosis. However, due to the complexity of the situations, difficulties exist in the process of diagnosis. This paper gave a brief introduction to the causes and classifications of the brachial plexus injuries. It compared the diagnostic methods of present, analyzed their advantages and shortages, and finally reached the conclusion that the physical inspection and electrophysiologic study were still the key methods, while the imaging methods would be relatively important in the future.

Key words: Brachial Plexus Injuries; Electroneuromyography; Motor and Sensory Nerve Conduction; Imaging

參考文獻(xiàn)
1. 許揚(yáng)濱，朱家愷，梁碧玲，高明勇. 臂叢神經(jīng)損傷的核磁共振診斷及影像特點(diǎn). 中華顯微外科雜志. 1997(20): 107-109.
2. 柏樹(shù)令. 系統(tǒng)解剖學(xué). 北京: 人民衛(wèi)生出版社. 2002: 385-391.
3. 楊亭，楊克非，金亞娣等. 根性臂叢神經(jīng)損傷的電生理研究及與治療的關(guān)系(附376例分析). 中華手外科雜志. 1995(11): 168-170.
4. 許虹，劉磊，劉慶. 84例臂叢神經(jīng)損傷的電生理診斷. 云南醫(yī)藥. 1994(15): 245-246.
5. 江濱，張壽林，黃金祥等. 175名二硫化碳作業(yè)工人神經(jīng)肌電圖分析. 衛(wèi)生研究. 1998(27): 84-86.