探究72例神经系统副肿瘤综合征患者的肌电图特点

To investigate the electromyographic features of 72 patients with paraneoplastic syndromes of the nervous system

目的探讨神经系统副肿瘤综合征患者的肌电图特点。方法选择72例神经系统副肿瘤综合征患者作为本次研究的观察组,另选择同期在本院进行健康体检的健康者72例,将其作为对照组。观察对比两组肌电图。结果观察组尺神经、正中神经、胫神经感觉、运动传导速度明显慢于对照组组间差异具有统计学意义(P<0.05)。观察组尺神经、正中神经、胫神经的运动末段潜伏期显著长于对照组(P<0.05)。对照组尺神经、正中神经、胫神经的感觉、运动波幅显著高于观察组(P<0.05)。观察组运动神经F波的检出率显著低于对照组(P<0.05)。结论肌电图在神经系统副肿瘤综合征的诊断方面具有重要意义,有助于潜在恶性肿瘤的及早发现。

Objective To investigate the electromyographic features of paraneoplastic syndromes in the nervous system. Methods Seventy-two patients with paraneoplastic syndromes of the nervous system were selected as the observation group for this study. Another 72 healthy individuals who had undergone physical examination in our hospital were selected as the control group. Observe and compare the two groups of electromyogram. Results The sensation of the ulnar nerve, median nerve, phrenic nerve, and motor conduction velocity in the observation group were significantly slower than those in the control group（P〈0.05）. The latency of the ulnar nerve, median nerve, and tibial nerve in the observation group was significantly longer than that in the control group（P〈0.05）. The sensation and motion amplitude of the ulnar nerve, median nerve, and sacral nerve in the control group were significantly higher than those in the observation group（P〈0.05）. The detection rate of motor F waves in the observation group was significantly lower than that in the control group（P〈0.05）. Conclusion Electromyography is of great significance in the diagnosis of paraneoplastic syndromes of the nervous system and is helpful for the early detection of potentially malignant tumors.