Hilton David A, Jacob John, Househam Liz, Tengah Connie
Department of Histopathology, Derriford Hospital, Plymouth PL6 8DH, UK.
J Neurol Neurosurg Psychiatry. 2007 Nov;78(11):1271-2. doi: 10.1136/jnnp.2007.116368. Epub 2007 Jun 5.
Nerve biopsy is used as part of the investigation of patients with peripheral neuropathy and is particularly useful in confirming the diagnosis of peripheral nerve vasculitis. Previous studies have suggested that sampling the peroneal nerve, in combination with peroneus brevis, is more sensitive than the sural nerve for this diagnosis but there are no published data on the complication rate of peroneal nerve biopsies. We have assessed the complications in 50 patients undergoing nerve biopsy, and have shown that although biopsy of the peroneal nerve may result in a larger area of sensory loss in some patients, other complications are not increased when compared with sural nerve biopsy.
神经活检被用作周围神经病变患者检查的一部分，在确诊周围神经血管炎方面尤其有用。先前的研究表明，腓总神经活检联合短腓骨肌，对于该诊断而言，比腓肠神经活检更具敏感性，但目前尚无关于腓总神经活检并发症发生率的公开数据。我们评估了50例接受神经活检患者的并发症情况，结果表明，尽管腓总神经活检在某些患者中可能导致更大面积的感觉丧失，但与腓肠神经活检相比，其他并发症并未增加。
