Diagnostic value of electrophysiological tests in patients with sciatica
Diagnostic value of electrophysiological tests in patients with sciatica
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DOI：
10.1034/j.1600-0404.2000.101004249.x
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发表时间：
2000-04-01
影响因子：
3.5
通讯作者：
Trojaborg, W
中科院分区：
文献类型：
--
作者：
Albeck, MJ;Taher, G;Trojaborg, W
(C) Munksgaard 2000。目的：评价电生理检查对坐骨神经痛的诊断价值。材料与方法：对25例单根性坐骨神经痛患者进行电生理检查。电生理研究包括皮节体感诱发电位、肌电图、f波潜伏期、h反射以及运动和感觉神经传导测定。电生理检查结果采用盲法评价，试验结果分别采用受试者工作特征（ROC）分析进行分析。此外，对5种模式进行了联合评估，并通过决策分析后悔函数进行了分析。结果- ii反射检查具有较高的预测价值，但其他方式的预测价值较低。当5种方式联合评估时，预期后悔从测试前的0.96下降到测试后的0.93。结论：电生理测试作为坐骨神经痛患者的单独检查是不够的。
(C) Munksgaard 2000. Objectives - To assess the diagnostic value of electrophysiological tests in patients with sciatica. Materials and methods - The diagnostic value of electrophysiological tests were evaluated in 25 patients with monoradicular sciatica. The electrophysiological study included dermatomal somatosensory evoked potentials, electromyography, F-wave latencies, H-reflexes and motor and sensory nerve conduction determinations. The results of the electrophysiological examinations were evaluated blindly, and the test results were analysed separately by a receiver operating characteristic (ROC) analysis. Furthermore, the 5 modalities were evaluated jointly and analysed by a decision-analytic regret function. Results - A high predictive value was found for the II-reflex examination, but low for the other modalities. When the 5 modalities were evaluated jointly, a non-significant decrease in expected regret from the pre-test situation of 0.96 to a value of 0.93 in post-test situation was revealed. Conclusion - Electrophysiological testing is not sufficient as stand-alone examination in patients with sciatica.