From the Division of Physical Medicine & Rehabilitation, University of Utah, Salt Lake City, Utah (DMC); University of Utah School of Medicine, Salt Lake City, Utah (QS, AE); Division of Physical Medicine & Rehabilitation, Vanderbilt University Medical Center, Nashville, Tennessee (AJY); and Department of Neurology, University of Utah, Salt Lake City, Utah (LO).
Am J Phys Med Rehabil. 2020 Feb;99(2):149-155. doi: 10.1097/PHM.0000000000001304.
The aims of the study were to systematically review the available literature concerning complications due to electromyography and to review those associated with nerve conduction studies.
A systematic review was undertaken of Medline and Cochrane Central Register of Controlled Trials. Any complication related to clinical electromyography written in English was included, and all bibliographies were scanned for missed articles.
A total of 27 articles fit the inclusion criteria, with two observational studies, and the rest case series or case studies; 42 patients were reported. Of these, 28 patients required hospitalization and 22 required surgery or a procedure, with zero deaths reported. Needle-related complications were the most prevalent (18 patients reported), with 17 related to pneumothoraces. Disorders of hemostasis were identified in 13 patients (many were asymptomatic) and cutaneous disorders were identified in 11 patients. Only one complication was identified in the narrative review related to nerve conduction studies.
This systematic review identified a variety of complications related to electromyography. Although the incidence of these occurrences cannot be elucidated from the case series and case study-predominant literature, adverse events seem to be rare but can cause significant morbidity. Electromyographers should be aware of all reported complications; this review outlines all reported occurrences that fit the inclusion criteria.
本研究旨在系统地回顾有关肌电图检查相关并发症的现有文献，并对与神经传导研究相关的并发症进行综述。
对 Medline 和 Cochrane 对照试验中心注册库进行了系统评价。纳入所有以英文撰写的与临床肌电图相关的并发症，并对所有参考文献进行扫描以查找遗漏的文章。
共有 27 篇文章符合纳入标准，其中 2 项为观察性研究，其余为病例系列或病例研究；共报告了 42 例患者。其中，28 例需要住院治疗，22 例需要手术或其他治疗，无死亡报告。最常见的是针相关并发症（18 例报告），其中 17 例与气胸有关。13 例患者存在止血功能障碍（许多为无症状），11 例患者存在皮肤疾病。与神经传导研究相关的叙述性综述仅确定了一种并发症。
本系统评价确定了与肌电图相关的多种并发症。尽管无法从病例系列和病例研究为主的文献中阐明这些事件的发生率，但不良事件似乎很少见，但可导致严重的发病率。肌电图医师应了解所有报告的并发症；本综述概述了所有符合纳入标准的报告事件。
