【摘要】：[目的]通過(guò)對(duì)4例神經(jīng)痛性肌萎縮的病例報(bào)道,分析該病的臨床表現(xiàn)、治療及預(yù)后情況,提高對(duì)本病的確診率,減少誤診誤治。[方法]收集4例神經(jīng)痛性肌萎縮患者的臨床資料,對(duì)其臨床癥狀、檢驗(yàn)、檢查結(jié)果進(jìn)行對(duì)比分析。[結(jié)果]臨床表現(xiàn)為急性或亞急性起病,進(jìn)行性加重,多為單側(cè)肩背部和(或)上肢的劇烈疼痛,隨后出現(xiàn)肌無(wú)力、肌萎縮,最常累及岡上肌和岡下肌,其次是三角肌;肌電圖呈神經(jīng)源性損害的表現(xiàn);疼痛程度、持續(xù)時(shí)間與肌無(wú)力、肌萎縮程度呈正比;肌電圖與臨床嚴(yán)重程度呈正比;激素、維生素、理療雖不能改變自然病程,但可以緩解癥狀,并且治療越早效果越好。[結(jié)論]神經(jīng)痛性肌萎縮臨床表現(xiàn)缺乏特異性,肌電圖有助于本病的診斷,該病通常是自限性的,預(yù)后良好。
[Abstract]:[objective] to analyze the clinical manifestation, treatment and prognosis of 4 cases of neuralgia muscular atrophy, so as to improve the diagnostic rate of the disease and reduce misdiagnosis and mistreatment. [methods] the clinical data of 4 patients with neuralgia muscular atrophy were collected, and the clinical symptoms, tests and results were compared and analyzed. [results] the clinical manifestations were acute or subacute onset, progressive aggravation, mostly severe pain in the back of shoulder and / or upper limb, followed by muscle weakness, muscular atrophy, most often involving supraspinatus muscle and subganglia muscle, followed by deltoid muscle. Electromyography showed neurogenic damage, the degree and duration of pain were proportional to myasthenia and muscular atrophy, electromyography was proportional to clinical severity, and the degree of pain and duration was proportional to the degree of myasthenia and atrophy. Hormones, vitamins, physiotherapy can not change the natural course of disease, but can relieve symptoms, and the sooner the treatment is better. [conclusion] the clinical manifestation of neuralgia muscular atrophy is lack of specificity. Electromyography is helpful for the diagnosis of this disease, which is usually self-limited and has a good prognosis.
【作者單位】： 解放軍第88醫(yī)院神經(jīng)內(nèi)科;
【分類號(hào)】：R746.4

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