彩色多普勒超声检查在肘管综合征诊断中临床意义.docVIP

彩色多普勒超声检查在肘管综合征诊断中临床意义[摘要] 目的 探讨彩色多普勒超声检查在肘管综合症中的诊断作用及临床意义。方法 对43例（67侧）临床诊断为肘管综合症的患者，按电生理分期标准分为三期。超声检测三期患者肘部尺神经受压的情况，测量神经外膜厚度、肘管平面尺神经截面积，并与健康志愿者肘部超声结果进行相关性的对比研究。结果 超声检测在肘管综合症患者中，早期尺神经外膜厚度增加，与对照组比较差异有统计学意义，肘管平面尺神经截面积未见增加；中、晚期尺神经外膜厚度、尺神经截面积均增大，与与对照组比较差异有统计学意义。结论 肘管综合症中、晚期的患者，超声检查可显示尺神经受压部位及程度，只得临床推广。 [关键词]彩色多普勒超声检查； 肘管综合征； 诊断 [中图分类号] R445.1[文献标识码] B[文章编号] 1005-0515（2011）-02-015-01 The clinical significance of ultrasonography in the diagnosis of cubital tunnel syndrome LIANG Lei1 SANG Yuan-tian1 ZHANG Guo-qiang1 CHEN De-song 2 （1 Department of Orthopedics,The Fifth People?s Hospital of Dalian,Dalian 116021,China . 2 Department of Hand Surgery, Huashan Hospital, Fudan University, Shanghai 200040, China.） [Abstract] Objective To investigate the value of color Doppler ultrasonography in the diagnosis of cubital tunnel syndrome. Methods Forty-three patients (67 sides) of clinically diagnosed cubital tunnel syndrome were divided into three stages according to the electrophysiological findigs. Color Doppler ultrasound examination was conducted in these patients and in 30 healthy volunteers.Compression of the ulnar nerve at the cubital tunnel, thickness of ulnar nerve epineuium,and cross-sectional area of ulnar nerve at the cubital tunnel level were observed and measured. Comparision was made between the patients and the healthy volunteers. Results In patients with early stage cubital tunnel syndrome, thickness of ulnar nerve epineurium was significantly higher than that of the healhy controls. Ulnar nerve cross-sectional area at the cubital tunnel level was not increased. In patients with intermediate and advanced stage cubital tunnel syndrome, ulnar nerve epineuium thickness and cross-sectional area at the cubital tunnel level were significantly increased. Conclusion Color Doppler ultrasonography can be used to detect the location and degree of ulnar nerve compression in cubital tunnel syndrome. It is considered to spread in clinical pratice. [Keywor