【摘要】：目的應(yīng)用高頻超聲(HFUS)對(duì)上肢神經(jīng)卡壓綜合征患者進(jìn)行術(shù)前、術(shù)后對(duì)比分析,部分患者行超聲造影(CEUS)檢查,探討HFUS在上肢神經(jīng)卡壓綜合征中的診斷價(jià)值及治療應(yīng)用中的指導(dǎo)意義,進(jìn)而為臨床制定最佳診療方案、改善手術(shù)預(yù)后提供影像學(xué)依據(jù)。方法選擇健康志愿者30例為對(duì)照組(60腕,60肘),其中男性10例,女性20例;年齡25~65歲,平均年齡46歲。上肢神經(jīng)卡壓綜合征并擬行手術(shù)的患者60例為病例組,其中腕管綜合征(CTS)患者40例(52腕),肘管綜合征(CuTS)患者20例(25肘)。40例CTS患者,其中男性18例,女性22例;年齡31~67歲,平均年齡49歲。20例CuTS患者,其中男性12例,女性8例;年齡29~78歲,平均年齡51歲�；颊咝g(shù)前均行HFUS及肌電圖(EMG)檢查、術(shù)后行HFUS檢查。EMG測(cè)量正中神經(jīng)(MN)、尺神經(jīng)(UN)的運(yùn)動(dòng)神經(jīng)傳導(dǎo)速度(MNCV)和感覺神經(jīng)傳導(dǎo)速度(SNCV)及運(yùn)動(dòng)神經(jīng)潛伏期(DML)和感覺神經(jīng)潛伏期(DSL),HFUS分別測(cè)量MN、UN前后徑、左右徑、橫截面積(CSA),以上各參數(shù)均進(jìn)行統(tǒng)計(jì)學(xué)分析。結(jié)果與對(duì)照組比較,病例組術(shù)后神經(jīng)前后徑、左右徑、CSA增大,差異有統(tǒng)計(jì)學(xué)意義(P0.05);HFUS檢測(cè)CTS、CuTS的靈敏度分別為91.67%、91.30%;特異度分別為75%、100%;陽性預(yù)測(cè)值分別為97.78%、100.00%;陰性預(yù)測(cè)值分別為42.86%、50.00%。結(jié)論 HFUS可作為臨床上診斷上肢神經(jīng)卡壓綜合征的有效方法 ,與EMG相結(jié)合可從形態(tài)和功能方面對(duì)上肢神經(jīng)卡壓綜合征進(jìn)行綜合評(píng)估,為臨床提供相應(yīng)的定量診斷依據(jù),從而提高診斷率。此外,應(yīng)用HFUS對(duì)術(shù)前、術(shù)后患者進(jìn)行比較研究,可為手術(shù)方案的制定及術(shù)后療效的預(yù)測(cè)提供理論依據(jù)。
[Abstract]:Objective to compare and analyze the patients with upper limb nerve entrapment syndrome by high frequency ultrasound (HFUS) before and after operation, and to explore the diagnostic value and guiding significance of HFUS in the diagnosis and treatment of upper limb nerve entrapment syndrome, so as to provide imaging basis for making the best diagnosis and treatment plan and improving the prognosis of upper limb nerve entrapment syndrome. Methods 30 healthy volunteers (60 wrists, 60 cubits) were selected as control group, including 10 males and 20 females, aged 25 鈮，

本文編號(hào)：2505403