| 张航 赵睿 臧成五 陈定章 丛锐.电生理联合高频超声检查在上臂桡神经炎诊治中的应用[J].,2016,16(14):2699-2702 |
| 电生理联合高频超声检查在上臂桡神经炎诊治中的应用 |
| Application of Electrophysiology Tests Combined High-frequencyUltrasound in the Diagnosis and Treatment of the Upper-armRadial Neuritis |
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| DOI： |
| 中文关键词: 桡神经 神经炎 电生理检查 高频超声检查 联合诊断 |
| 英文关键词: Radial nerve Neuritis Electrophysiology tests High-frequency ultrasound Combined diagnosis |
| 基金项目:国家自然科学基金项目（30973053） |
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| 中文摘要: |
| 目的：探讨电生理联合高频超声检查在上臂桡神经炎诊治中的意义。方法：分析西京医院手外科自2010 年12 月至2015 年
7 月收治的14例诊断为上臂桡神经炎的患者，男8 例，女6 例；年龄21～33 岁，平均24.6 岁；病程2 周～ 1.8 年。所有患者进行电
生理检查、高频超声检查，确诊后行外科手术治疗及病理检查。结果：电生理检查：2 例明确诊断为外侧肌间隔处桡神经完全损伤；
5 例诊断为外侧肌间隔处桡神经严重损伤；6 例诊断为外侧肌间隔处桡神经中度损伤；1 外侧肌间隔处可能损伤，由于病史小于3
周，建议随访。高频超声检查：6 例为I型，神经长段均匀肿胀，回声减低；8 例为II型神经一处或多处缩窄，缩窄两端肿胀，回声减
低，呈漏沙或腊肠样变。其中II 型中有一例呈局部多处缩窄。本组患者经手术探查及术后病理证实两者联合检查诊断率可达
100%。结论：电生理联合超声检查,可提高上臂桡神经炎的诊断率。 |
| 英文摘要: |
| Objective:Investigate the significance of electrophysiology tests combined high-frequency ultrasound in the diagnosis
and treatment of the upper-arm radial neuritis.Methods:Analyze 14 patients we, the Hand Surgery Department of Xijing Hospital,
admitted,from December 2010 to July 2015, who were diagnosed as the upper-arm radial neuritis, including 8 males and 6 females. The
age ranges from 21 to 33 years old and the mean age is 24.6. The course of the disease ranges from 2 weeks to 1.8 years.
Electrophysiological tests and high-frequency ultrasound were all used on each patient. After a definite diagnosis, operations and
pathological examinations were performed.Results:Electrophysiological examination results: 2 cases were diagnosed as complete radial
nerve injury in the lateral intermuscular septum; 5 cases were severe radial nerve injury in the lateral intermuscular septum; 6 cases were
moderate radial nerve injury in the lateral intermuscular septum; 1 case was diagnosed as possible injury in the lateral intermuscular
septum, which was recommened follow-up visits because the medical history was less than 3 weeks. High frequency ultrasonography
results: 6 cases were type I nerve even swelling, hypoechoic; the other 8 cases had one or more constrictions in the type II nerve, narrow
at both ends of the swelling, hypoechoic, with a drain sand or sausage like change. Among the type II nerve injury, there was one case
having a local multiple constriction. Patients in this group proved the diagnosis rate was 100% after the surgical exploration and
operation.Conclusion:Electrophysiology test combined high-frequency ultrasound can improve the diagnostic rate of the upper-arm
radial neuritis. |
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