肌萎缩侧索硬化与颈椎病鉴别诊断的临床研究

为尽早对肌萎缩侧索硬化与颈椎病做出鉴别诊断，把９０例临床资料分为ＡＬＳ与脊髓型颈椎病和神经根型颈椎病三组，采用肌萎缩，肌束颤，肢体疼痛／麻木、感觉障碍等症状构成多个鉴别诊断条件，分四步实施鉴别诊断的敏感性为９８％，特异性为８６．５％，提示，详细的临床神经系统检查，临床症状和体征的综合分析，可对ＡＬＳ作出基本可靠的诊断。

A clinical study of the differential diagnosis between amyotrophic lateral sclerosis(ALS) and cervical spondylotic radiculopathy (CSR)/cervical spondylotic myelopathy(CSM)

In order to make the differential diagnosis earlier between ALT and CSM/CSR, we provided a simple four step program for diagnosing ALS. The results are 98% sensitivity and 86.5% specificity. Ninety patients were devided into three groups:(1)ALS(53 cases); (2) CSM (14 cases);(3)CSR(23 cases). A simple four step program that consisted of muscle wasting, fasciculus tremor limbs pain/numbness and sensory loss was used. Therefore, careful clinical nervous system tests and comprehensive analyses of clinical symptoms and signs may make a reliable diagnosis of ALS.