| 超声检查在上臂桡神经炎中的应用 |
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Received:June 21, 2012
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| 期刊信息：《中国骨伤》2013年26卷，第4期，第336-339页 |
| DOI：10.3969/j.issn.1003-0034.2013.04.018 |
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目的: 探讨超声检查在上臂桡神经炎诊治中的意义。
方法: 选取2005年12月至2011年7月患者10例, 男6例, 女4例;年龄20～40岁, 平均32岁;病程4个月～2年。患者上臂外侧疼痛, 体格检查发现神经扣击试验阳性, 伸腕伸指肌力减退。根据临床体征和体格检查诊断为上臂桡神经炎。所有患者采用B超检查, 并进行电生理、病理检查。将超声影像学表现与术中所见的桡神经形态进行对比研究, 同时将B超检查结果与电生理、病理检查结果进行对比分析。
结果: B超显示患肢桡神经平均直径(0.29±0.04) cm,平均面积(0.23 ±0.05) cm2,均大于健侧。超声影像学表现与术中所见的桡神经病变一致, 而且B超检查结果和病理检查结果一致。
结论: B超检查为上臂桡神经炎的诊断和治疗提供了形态学依据。 |
| [关键词]:臂丛神经炎 超声检查 病理学,临床 电生理学 |
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| Diagnosis and treatment of upper arm radial neuritis by ultrasonography |
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Abstract:
Objective: To evaluate the application of ultrasonography in diagnosis and treatment of the upper arm radial neuritis.
Methods: From 2005.12 to 2011.7,10 patients of the upper arm radial neuritis were selected and included 6 males and 4 females with an average age of 32 years old ranging from 20 to 40 years. The course of disease ranged from 4 months to 2 years. All patients feel pain on the outside of upper arm. Medical examination showed Tinel's sign masculine,and the muscle force included extension of wrist and fingers were reduced. Upper arm radial neuritis were diagnosed by clinical sign and medical examination. All patients underwent ultrasonography examination,electrophysiology examination and operation. The ultrasonography were compared to the results of electrophysiology examination,and ultrasonography were compared to intra-operative findings and pathology examination.
Results: The ultrasound images showed average diameter of affected limb radial nerve were (0.29±0.04) cm,average area were (0.23±0.05) cm2,and all of these were greater than uninjured side. Ultrasonograghic findings and orientation of radial neuritis were consistent with intra-operative findings,and the results of ultrasonography were consistent with the results of pathology examination.
Conclusion: Ultrasonography examination provide morphological evidence for the diagnosis and treatment of the upper arm radial neuritis. |
| KEYWORDS:Brachial plexus neuritis Ultrasonography Pathology,clinical Electrophysiology |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 张展,陈德松,陈为民,张春.超声检查在上臂桡神经炎中的应用[J].中国骨伤,2013,26(4):336~339 |
| 英文格式: | ZHANG Zhan,CHEN De-song,CHEN Wei-min,ZHANG Chun.Diagnosis and treatment of upper arm radial neuritis by ultrasonography[J].zhongguo gu shang / China J Orthop Trauma ,2013,26(4):336~339 |
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