Hollister Anne M, Simoncini Alberto, Sciuk Adam, Jordan Jenee'
Department of Radiology, Louisiana State University Health Sciences Center, Shreveport, LA, USA.
Neurol Res. 2012 Jan;34(1):98-103. doi: 10.1179/1743132811Y.0000000048.
Accurate diagnosis and localization of peripheral nerve traumatic injury remains difficult. Early diagnosis and repair of nerve discontinuity lesions lead to better outcome than delayed repair.
We used new high frequency ultrasound to evaluate 24 patients with 29 traumatic nerve injuries. There were a variety of causes including gunshot wounds, blunt injuries, burns, stabbings, and motor vehicle accidents. The patients were then either treated surgically with nerve status directly observed or followed clinically for recovery of nerve function.
The ultrasound findings correspond with the clinical outcome of 28 of the 29 nerves.
While this is a study limited by a small patient number, ultrasound evaluation should be considered in the evaluation of nerve injury and can lead to early diagnosis and treatment of surgical nerve injuries.
周围神经创伤性损伤的准确诊断和定位仍然困难。与延迟修复相比，早期诊断并修复神经连续性损伤可带来更好的结果。
我们使用新型高频超声对24例患者的29处创伤性神经损伤进行评估。损伤原因多种多样，包括枪伤、钝器伤、烧伤、刺伤和机动车事故。随后，对患者进行手术治疗并直接观察神经状况，或进行临床随访以观察神经功能恢复情况。
29条神经中的28条神经的超声检查结果与临床结果相符。
虽然本研究受限于患者数量较少，但在评估神经损伤时应考虑超声评估，其可实现手术性神经损伤的早期诊断和治疗。
