术前超声评估产科臂丛神经损伤
Assessment of obstetric brachial plexus injury with preoperative ultrasound.
作者信息
Smith Edward C, Xixis Kathryn Idol, Grant Gerald A, Grant Stuart A
机构信息
Division of Pediatric Neurology, Department of Pediatrics, Duke University Medical Center, Durham, North Carolina, USA.
Department of Neurosurgery, Stanford University Medical Center, Palo Alto, California, USA.
出版信息
Muscle Nerve. 2016 Jun;53(6):946-50. doi: 10.1002/mus.24975. Epub 2016 Feb 22.
INTRODUCTION
Tools used in the assessment of obstetric brachial plexus injuries (OBPIs) have traditionally included electrodiagnostic studies, computerized tomography with myelography, and MRI. However, the utility of ultrasound (US) in infants for such assessment has not been extensively examined.
METHODS
This retrospective case series reports the preoperative brachial plexus US findings in 8 patients with OBPI and compares US with intraoperative findings. When available, the preoperative US was compared with the preoperative MRI.
RESULTS
US revealed abnormalities in all 8 patients. Although MRI detected abnormalities in the majority of patients, US provided accurate information regarding severity and anatomic location of injury in some patients.
CONCLUSIONS
US is a relatively inexpensive, noninvasive, painless diagnostic modality that can be used to assess OBPI. This case series suggests that US is a valuable adjunct to current diagnostic modalities. Muscle Nerve 53: 946-950, 2016.
引言
传统上，用于评估产时臂丛神经损伤（OBPI）的工具包括电诊断研究、计算机断层扫描脊髓造影和磁共振成像（MRI）。然而，超声（US）在婴儿此类评估中的效用尚未得到广泛研究。
方法
本回顾性病例系列报告了8例产时臂丛神经损伤患者术前臂丛神经超声检查结果，并将超声检查结果与术中发现进行比较。如有术前MRI检查结果，将其与术前超声检查结果进行比较。
结果
8例患者超声检查均显示异常。虽然大多数患者MRI检查发现了异常，但超声检查为部分患者提供了有关损伤严重程度和解剖位置的准确信息。
结论
超声是一种相对廉价、无创、无痛的诊断方法，可用于评估产时臂丛神经损伤。该病例系列表明，超声是当前诊断方法的一种有价值的辅助手段。《肌肉与神经》53: 946 - 950, 2016年。
Zotero 插件