高频超声在四肢周围神经损伤诊断中的应用高频超声在四肢周围神经损伤诊断中的应用.docVIP

高频超声在四肢周围神经损伤诊断中的应用 陈红天 夏晓辉 湖南省人民医院 410002 长沙 摘要: 目的 评价高频超声对四肢周围神经损伤的诊断价值。方法 对22例四肢周神经神经损伤症状的患者，行高频超声诊断检查。结果 22例患者中，正中神经损伤8例，尺神经损伤4例，桡神经损伤4例，坐骨神经损伤1例，腓总神经损伤3例，胫神经损伤2例；按照神经损伤病因，外伤16例，上肢感染4例，上肢血管神经鞘内转移性淋巴结2例，22例中非手术治疗3例；手术治疗19例，其中神经松解15例，神经直接修复4例。行神经直接修复4例患者中外周神经功能完全恢复2例，功能部分恢复2例。结论 高频超声能清楚显示周围神经的形态结构，用于检查周围神经损伤原因及程度具有重要的诊断学价值，同时根据临床症状及超声诊断的分度选择合适的治疗方法，对周围神经预后有一定的参考价值。 关键词 周围神经 损伤 高频超声 Application of high-frequency ultrasound in diagnosis of limb peripheral nerve injury CHEN Hong-tian, XIA Xiao-hui (Depanrtment of Ultrasonography,Hunan provincial peoples hospital Changsha 410002,China) Abstract: objective To evaluate the diagnostic value of high-frequency ultrasonography in limb peripheral nerve injury. Methods Twenty-two patients with limb peripheral nervous nerve injury symptoms underwent high-frequency ultrasound and the sonographic features of peripheral nerve were analyzed. Results In 22 cases, 8 cases of median nerve injury, 4 cases of ulnar nerve injury, 4 cases of radial nerve injury, 1 case of sciatic nerve injury, 3 cases of peroneal nerve injury and 2 cases of tibial nerve damage．According to the nerve injury causes, In 16 cases of injury, upper limbs infection 4 cases , vascular nerve sheath in metastatic lymph nodes in 2 cases, 3 cases of africa surgery treatment in 22 cases; In surgical treatment of 19 cases, of which nerve release 15 cases, For nerve repair in 4 patients of function recovered complerely in a cases, partially recovered in 2 cases. Conclusions High-frequency ultrasound can clearly show the morphological and structure of peripheral nerve for evaluating the causes and degree of peripheral nerve injury , which have certain reference value for prognosising of peripheral nerve and choose the appropriate treatment. Key words ：Peripheral nerve；injury; High-frequency ultrasound 周围神经损伤后，判断周围神经损伤原因及程度等状况是评估周围神经损伤预后的重要指标。 近年来，随着超声技术的发展，特别是高频超声及宽景超声成像技术的应用，使其在软组织损伤中的应用日益广泛[1-3]。 目前周围神经损伤主要通过对运动、感觉功能的检查以及肌电图检查间接诊断作