临床荟萃

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强直性肌营养不良的临床特征、肌电图及肌肉病理研究

  

  1. 1.山东省立第三医院 神经内科,山东 济南 250031;2.解放军第960医院 神经内科,山东 济南 250031
  • 出版日期:2020-04-20 发布日期:2020-04-16
  • 通讯作者: 吕涌涛, Email: law1984@126.com

Clinical characteristics, electromyogram and muscle pathology of myotonic dystrophy

  1. 1.Departement of Neurology, Shandong Provincial Third Hospital,  Jinan 250031, China;
    2.Departement of Neurology,  960 Hospital of PLA, Jinan 250031, China
  • Online:2020-04-20 Published:2020-04-16
  • Contact: Corresponding author: Lu Yongtao, Email: law1984@126.com

摘要: 目的  研究强直性肌营养不良(DM)的临床特征、肌电图、肌肉病理及诊断学方法。方法  总结2008-2011年住院的临床诊断为强直性肌营养不良的5例患者的临床特征、肌电图、肌肉病理学特征进行系统分析。结果  5例患者均行肌电图、肌肉病理学检查,5例患者的肌电图程肌源性损害,并发现强直电位,5例患者的肌肉病理活检均符合强直性肌营养不良的病理表现。结论  根据患者的临床特点、肌电图检查及肌肉病理可对DM患者进行诊断。

关键词: 肌营养不良, 肌电描记术, 病理学

Abstract: Objective  To study the clinical characteristics, electromyogram, muscle pathology and diagnostic methods of myotonic dystrophy (DM).Methods  This paper summarized the clinical characteristics, electromyogram and muscle pathology of 5 patients who were clinically diagnosed with myotonic dystrophy in hospital from 2008 to 2011.Results  Electromyogram and muscle pathology were performed in all 5 patients. Myogenic lesions and tonic potential were found in the electromyogram of 5 patients. The pathological findings of muscle pathology in 5 patients were consistent with the pathological manifestations of tonic muscle dystrophy. Conclusion  DM patients can be diagnosed according to their clinical characteristics, electromyogram examination and muscle pathology.

Key words: myotonic dystrophy, electromyogram;pathology