周围神经损伤的电生理检测及其法医学意义

周围神经损伤是法医学鉴定中较为常见的损伤,而电生理检测作为一种客观辅助检查手段,对周围神经损伤后功能的评价具有重要的法医学意义。目前常用的电生理检测方法有:强度-时间曲线、肌电图、神经传导速度和体感诱发电位。由于周围神经损伤后不同时间的电生理检测可以反映周围神经损伤与再生的情况,因此,电生理检测对于周围神经损伤预后评估和鉴定时机的确定具有重要的法医学意义。在法医学鉴定中,对于周围神经损伤,除根据神经电生理检测结果外,还要结合其他临床表现综合评定。

Electrophysiological examination of peripheral nerve injury and its significance in forensic medicine

Assessment of peripheral nerve injury is a common task in forensic practice.As an objective assistance of inspection,electrophysiological examination is significant in the evaluation of peripheral nerve function after injury.There are currently several methods of electrophysiological examination,including I-T curve,EMG,NCV and SEP.Because electrophysiological examination can assess the injury and regeneration of peripheral nerve injury at different times,it is valuable to estimate prognosis of peripheral nerve injury in forensic medicine.Besides the electrophysiological examination,evaluation of the peripheral nerve injury needs to combine other clinical manifestations to provide an accurate appraisal.