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[磁共振成像对神经肌肉疾病的诊断价值]

[The diagnostic value of magnetic resonance imaging on neuromuscular diseases].

作者信息

Chen Q T

机构信息

Department of Neurology, First Hospital of Beijing Medical University.

出版信息

Zhonghua Shen Jing Jing Shen Ke Za Zhi. 1992 Oct;25(5):267-70, 315-6.

PMID:1291246
Abstract

The article concentrated on the study of skeletal muscles of four extremities in 12 cases of different kinds of neuromuscular diseases and 4 volunteers with MRI. The results revealed: MRI could clearly display individual muscle, muscle groups or abnormal muscles morphologically. It could also demonstrate the difference between the neurogenic and myogenic changes. In patients with progressive muscular dystrophy (PMD), the gracilis m. and sartorius m. were relatively intact. In patients with primary myopathies, the severity of MRI changes was consistent with the severity of the illness and the EMG changes. The results indicated that MRI examination was helpful in the diagnosis of neuromuscular disorders. It can define the distribution and the severity of impaired muscles. In addition, MRI could be used to select the appropriate muscles for EMG examinations or muscle biopsies. Selective muscular impairments might be the characteristics of patients with PMD.

摘要

该文章聚焦于12例不同类型神经肌肉疾病患者及4名志愿者四肢骨骼肌的MRI研究。结果显示:MRI能够清晰地从形态上显示单个肌肉、肌群或异常肌肉。它还能显示神经源性和肌源性改变之间的差异。在进行性肌营养不良(PMD)患者中,股薄肌和缝匠肌相对完整。在原发性肌病患者中,MRI改变的严重程度与疾病严重程度及肌电图改变一致。结果表明,MRI检查有助于神经肌肉疾病的诊断。它可以明确受损肌肉的分布和严重程度。此外,MRI可用于选择适合进行肌电图检查或肌肉活检的肌肉。选择性肌肉损伤可能是PMD患者的特征。

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