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周围神经病的诊断策略

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周围神经病患者可能会就诊于医院的不同临床科室,其诊断需要依据患者的临床表现建立一套合理的检查流程.首先应依据患者的发病年龄、疾病发展速度、周围神经损害症状在全身的分布,区分为不同的临床亚型.在此基础上,应用神经传导检测和肌电图来确定周围神经病的定位诊断.定性诊断是在定位诊断的基础上选择合理的辅助检查,包括血液学检查、周围神经影像学以及活组织病理检查.对于临床怀疑遗传病的患者,应选择基因检测.最后,在定性诊断的基础上进行治疗评估,指导治疗方案的制订.
Diagnostic strategies for peripheral neuropathy
Peripheral neuropathies are commonly diagnosed in different clinical department of the hospital.The diagnosis is generated by a set of reasonable process based on the manifestations of patients.According to the age of onset,the speed of disease development and the symptoms of peripheral nerve lesions,the peripheral neuropathy is divided into a definite clinical subtype for a particular patient.On this basis,utility of the nerve conduction studies and electromyography is conducted to confirm the anatomical locations of peripheral neuropathy.The etiologic diagnosis is based on anatomical diagnosis of peripheral nerve with a reasonable choice of auxiliary tests,including serological testing,peripheral nerve imaging and biopsy.Genetic tests are chosen for patients with clinical suspective diagnosis of hereditary disease.Finally,therapy evaluation on the basis of etiologic diagnosis is important for forming a treatment plan.

Peripheral nervous system diseasesDiagnosisTherapy

袁云、李圳钰

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北京大学第一医院神经内科,北京 100034

周围神经病 诊断 治疗

2024

中华神经科杂志
中华医学会

中华神经科杂志

CSTPCD北大核心
影响因子:1.329
ISSN:1006-7876
年,卷(期):2024.57(4)
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