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目的:寻找神经、肌肉电生理和腓肠神经病理在急性和慢性炎性脱髓鞘性多发性周围神经病(GBS和CIDP)的诊断价值。方法:总结GBS和CIDP(l5例和17例)的临床、电生理及病理资料进行回顾性分析。结果:EMG异常而神经电生理正常共8例;临床和电生理均未提示感觉异常的患者病理发现髓鞘和轴突的丧失、髓鞘再生及许旺细胞内结构改变。结论:腓肠神经活检及神经、肌电生理的测定是本组疾病相辅相成的辅助检查手段。
OBJECTIVE: To investigate the diagnostic value of nerve, muscle electrophysiology and sural neuropathology in acute and chronic inflammatory demyelinating polycystic peripheral neuropathy (GBS and CIDP). Methods: The clinical, electrophysiological and pathological data of GBS and CIDP (15 cases and 17 cases) were retrospectively analyzed. Results: There were 8 cases of EMG abnormality and normal electrophysiological condition. Both the clinical and electrophysiological findings did not indicate the loss of myelin and axon pathology, remyelination and ultrastructure of Schwann cells. Conclusion: Sural nerve biopsy and nerve, myoelectrophysiological determination of this group of diseases complement each other to help check the means.