Streib E W, Sun S F, Paustian F F, Gallagher T F, Shipp J C, Ecklund R E
Muscle Nerve. 1986 Jul-Aug;9(6):548-53. doi: 10.1002/mus.880090612.
We investigated the diagnostic value of electromyographic (EMG) examination of the anterior abdominal wall muscles (AWMS) in thoracic radiculopathy and compared it with examination of thoracic paraspinal muscles (TPSM). Technically, examination of AWMS was much easier compared to TPSM. In eight patients with thoracic diabetic radiculopathy at the level of T7-T12, AWMS was abnormal in all and was considered to be diagnostic, whereas AWMS was normal in diabetic lumbar radiculopathy, patients with diabetes mellitus without radiculopathy, patients with unspecified gastrointestinal pain, and patients with musculoskeletal-type back pain. We conclude that EMG evaluation for possible thoracic radiculopathy should include examination of AWMS, and if abnormal, would be of great diagnostic help in patients with unspecified gastrointestinal symptoms.
我们研究了胸神经根病患者腹前壁肌肉（AWMS）肌电图（EMG）检查的诊断价值，并将其与胸段椎旁肌（TPSM）检查进行比较。从技术角度讲，与TPSM检查相比，AWMS检查要容易得多。在8例T7 - T12水平的胸段糖尿病性神经根病患者中，所有患者的AWMS均异常，且被认为具有诊断意义，而在糖尿病性腰神经根病、无神经根病的糖尿病患者、不明原因胃肠道疼痛患者以及肌肉骨骼型背痛患者中，AWMS均正常。我们得出结论，对于可能的胸神经根病进行EMG评估时应包括AWMS检查，若结果异常，则对有不明原因胃肠道症状的患者具有很大的诊断帮助。
