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糖尿病性多发性神经病的诊断策略：重点关注神经纤维类型和磁共振神经影像学。

Diagnostic strategy for diabetic polyneuropathy: Focus on nerve fiber type and magnetic resonance neurography.

机构信息

Division of Diabetes and Metabolism, Satellite Clinic for Integrative and Anti-Aging Medicine, Wakayama Medical University, Wakayama, Japan.

First Department of Medicine, Wakayama Medical University, Wakayama, Japan.

出版信息

J Diabetes Investig. 2021 Feb;12(2):140-142. doi: 10.1111/jdi.13364. Epub 2020 Aug 27.

DOI:10.1111/jdi.13364
PMID:32681709
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7858112/
Abstract

Recently, various neurological tests for evaluating small-fiber neuropathy have been developed. Magnetic resonance neurography has also developed as a novel method to visualize diabetic neuropathy. The current status of diabetic polyneuropathy diagnosis focusing on the types of nerve fiber and magnetic resonance neurography is summarized.

摘要

最近，已经开发出了各种用于评估小纤维神经病的神经学测试。磁共振神经成像也作为一种新的方法来可视化糖尿病性神经病。本文总结了目前侧重于神经纤维类型和磁共振神经成像的糖尿病多发性神经病诊断的现状。

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本文引用的文献

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Spectrum of diabetic neuropathies.糖尿病性神经病变谱
Diabetol Int. 2020 Jan 8;11(2):87-96. doi: 10.1007/s13340-019-00424-7. eCollection 2020 Apr.
2
Understanding Diabetic Neuropathy-From Subclinical Nerve Lesions to Severe Nerve Fiber Deficits: A Cross-Sectional Study in Patients With Type 2 Diabetes and Healthy Control Subjects.了解糖尿病神经病变——从亚临床神经损伤到严重神经纤维缺失：2 型糖尿病患者和健康对照者的横断面研究。
Diabetes. 2020 Mar;69(3):436-447. doi: 10.2337/db19-0197. Epub 2019 Dec 11.
3
Diabetic neuropathy differs between type 1 and type 2 diabetes: Insights from magnetic resonance neurography.1 型和 2 型糖尿病的周围神经病变不同：磁共振神经成像的见解。
Ann Neurol. 2018 Mar;83(3):588-598. doi: 10.1002/ana.25182. Epub 2018 Mar 10.
4
Diabetic Neuropathy: A Position Statement by the American Diabetes Association.糖尿病神经病变：美国糖尿病协会的立场声明
Diabetes Care. 2017 Jan;40(1):136-154. doi: 10.2337/dc16-2042.
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Magnetic resonance neurography detects diabetic neuropathy early and with Proximal Predominance.磁共振神经成像可早期检测出糖尿病性神经病变，且以近端为主。
Ann Neurol. 2015 Dec;78(6):939-48. doi: 10.1002/ana.24524. Epub 2015 Nov 14.