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超声对外周神经创伤类型的初步研究。

Preliminary study of the types of traumatic peripheral nerve injuries by ultrasound.

机构信息

Department of Ultrasound in Medicine, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, 600 Yishan Rd, Shanghai 200233, China.

出版信息

Eur Radiol. 2011 May;21(5):1097-101. doi: 10.1007/s00330-010-1992-3. Epub 2010 Oct 24.

DOI:10.1007/s00330-010-1992-3
PMID:20972875
Abstract

OBJECTIVES

To investigate the types of traumatic peripheral nerve injuries by ultrasound (US). To demonstrate the efficacy of US in case of peripheral nerve injuries and, in particular, its importance of demonstrating and monitoring the appearances of the nerve itself.

METHODS

Two hundred and two patients, of which 117 subsequently underwent operative treatment, were prospectively examined by US in such a way that the transducer was moved to the nerve damaged region from the normal nerve located near a known anatomical landmark. The ultrasound features of the traumatic peripheral nerve injuries were classified according to abnormal fascicle, perineurium, epineurium, and peripheral tissues of peripheral nerve.

RESULTS

The ultrasound features of the traumatic peripheral nerve injuries were classified into 7 types. In the 117 cases that underwent operative treatment, the accuracy of classification by using US was 93.2%.

CONCLUSIONS

Ultrasound seems to be a valuable investigation for evaluating the type of traumatic peripheral nerve injury.

摘要

目的

通过超声(US)研究外伤性周围神经损伤的类型。展示 US 在周围神经损伤中的疗效,特别是其对显示和监测神经本身的重要性。

方法

对 202 例患者进行前瞻性超声检查,将探头从正常神经向已知解剖标志附近的损伤神经区域移动。根据异常束、神经外膜、神经外膜和周围组织对外伤性周围神经损伤的超声特征进行分类。

结果

外伤性周围神经损伤的超声特征分为 7 种类型。在 117 例接受手术治疗的患者中,US 分类的准确率为 93.2%。

结论

超声似乎是评估外伤性周围神经损伤类型的一种有价值的检查方法。

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Treatment of acute peripheral nerve injuries: current concepts.
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