中国组织工程研究

中国组织工程研究 ›› 2011, Vol. 15 ›› Issue (13): 2438-2441.doi: 10.3969/j.issn.1673-8225.2011.13.037

• 骨与关节综述 bone and joint review • 上一篇    下一篇

肌电图评价腰椎间盘突出症的临床价值

高  庆，方诗元   

  1. 安徽医科大学附属省立医院骨一科，安徽省合肥市   230001
  • 收稿日期:2010-11-17 修回日期:2011-01-22 出版日期:2011-03-26 发布日期:2013-10-23
  • 通讯作者: 方诗元，主任医师，硕士生导师，安徽医科大学附属省立医院骨科，安徽省合肥市 230001 Fangshiyuan2008@126.com
  • 作者简介:高庆★，男，1987年生，安徽省六安市人，汉族，安徽医科大学附属省立医院骨科在读硕士，主要从事骨科脊柱方面的研究。 gaoqing390559069@163.com

Clinical values of electromyogram in evaluating lumbar disc herniation

Gao Qing, Fang Shi-yuan   

  1. First Department of Orthopedics, Anhui Provincial Hospital, Anhui Medical University, Hefei  230001, Anhui Province, China
  • Received:2010-11-17 Revised:2011-01-22 Online:2011-03-26 Published:2013-10-23
  • Contact: Fang Shi-yuan, Chief physician, Master’s supervisor, First Department of Orthopedics, Anhui Provincial Hospital, Anhui Medical University, Hefei 230001, Anhui Province, China Fangshiyuan2008@126.com
  • About author:Gao Qing★, Studying for master’s degree, First Department of Orthopedics, Anhui Provincial Hospital, Anhui Medical University, Hefei 230001, Anhui Province, China gaoqing390559069@163.com

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754

被引次数

55

摘要：

背景：肌电图对腰椎间盘突出症患者的诊断、治疗方法选择及治疗效果有客观的评价作用，并且在神经病变恢复的评定中具有客观、准确、定量等的作用。
目的：总结近年来肌电图在腰椎间盘突出患者诊断、治疗方法效果评定中所起的作用。
方法：以LDH，Lumbar disc herniation，sEMG，EMG为检索词，检索Pubmed数据库(1990-01/2010-10)，以腰椎间盘突出症，肌电图为检索词，检索中国期刊全文数据库(1998-01/2010-10)，文献检索语种限制为英文和中文。纳入肌电图及腰椎间盘突出症相关的内容。排除重复性研究。
结果与结论：通过34篇文献对肌电图在腰椎间盘突出症患者诊断以及疗效评估上的作用进行分析。不仅常规肌电图在腰椎间盘突出患者的诊断、疗效评价、治疗方法的选择具有客观的作用，表面肌电图也具有同样的作用，但是表面肌电图的干扰因素较多，所以把表面肌电图大规模应用在临床上还有很长的路要走，需进行进一步的研究。

关键词: 腰椎间盘突出症, 电生理, 肌电图, 表面肌电图, 综述文献

Abstract:

BACKGROUND: Electromyogram (EMG) provides an objective appreciation in diagnosis, treatment selection and evaluation of curative effect for patients with lumbar disc herniation (LDH), and has an objective, accurate and quantitative role in assessment of recovery in nerve lesions。
OBJECTIVE: To summarize the roles of EMG in diagnosis, and evaluation of curative effect for patients with LDH.
METHODS: A compute-based online search of Pubmed database (1990-01/2010-10) and CNKI (1998-01/2010-10) was performed with key words “LDH, sEMG, EMG, lumbar disc herniation” in English and “LDH, electromyography” in Chinese. The articles about LDH and EMG were included. Repeated studies were excluded.
RESULTS AND CONCLUSION: A total of 34 literatures were included and analyzed the roles of EMG in diagnosis, and evaluation of curative effect for patients with LDH. Routine EMG has objective effects on diagnosis, evaluation of curative effect and selection of treatment methods, and surface EMG also plays similar roles. But surface EMG is easily interfered. Therefore, extensive clinical application of surface EMG requires further investigation.

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