APHP, Raymond Poincare University Hospital, Garches, France.
Myology Institute, Pitié Salpetrière Hospital, Paris, France.
J Neuromuscul Dis. 2018;5(1):1-10. doi: 10.3233/JND-170276.
Respiratory muscles are classically involved in neuromuscular disorders, leading to a restrictive respiratory pattern. The diaphragm is the main respiratory muscle involved during inspiration. Ultrasound imaging is a noninvasive, radiation-free, accurate and safe technique allowing assessment of diaphragm anatomy and function. The authors review the pathophysiology of diaphragm in neuromuscular disorders, the methodology and indications of diaphragm ultrasound imaging as well as possible pitfalls in the interpretation of results.
呼吸肌在神经肌肉疾病中常受累,导致限制性呼吸模式。膈肌是吸气时主要参与的呼吸肌。超声成像技术是一种无创、无辐射、准确和安全的技术,可用于评估膈肌的解剖和功能。作者回顾了神经肌肉疾病中膈肌的病理生理学、膈肌超声成像的方法和适应证,以及结果解释中的可能陷阱。