高频超声在下肢周围神经损伤及病变诊断中的应用 |
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引用本文: | 郝纪锟,郑敏娟,陈定章,张小卉,王 晶,罗 璐,周晓东. 高频超声在下肢周围神经损伤及病变诊断中的应用[J]. 中国临床医学影像杂志, 2014, 25(7): 519-521 |
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作者姓名: | 郝纪锟 郑敏娟 陈定章 张小卉 王 晶 罗 璐 周晓东 |
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作者单位: | 1. 第四军医大学第一附属医院超声科,陕西 西安 710032;2. 中国人民解放军第518医院体检中心,陕西 西安 710043 |
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基金项目: | 陕西省社会发展攻关项目(No.2013K12-20-01). |
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摘 要: | 目的:探讨高频超声在下肢周围神经损伤及病变诊断中的应用价值.方法:应用高频超声检查98例下肢周围神经损伤及病变的患者,与正常神经的声像图对照,观察和总结各种神经病变的声像图特点,并与术中探查及电生理检查结果相比较,评价高频超声诊断符合率.结果:下肢周围神经损伤及病变按其损伤类型大致可分为神经断裂、神经肿瘤、神经卡压粘连和神经炎性改变四大类,各有其声像图特点;与术中探查及电生理结果相对照,高频超声诊断符合率为91.84%.结论:高频超声在检查下肢神经病变中起着重要作用,尤其为其形态学的研究提供了新的检测方法,能够根据声像图特征对病变的类型作出较准确的判断,为下肢周围神经病变的诊断、治疗方式的选择以及对神经损伤修复的评估提供有价值的影像学信息,对提高患者生活质量,减少家庭及社会医疗负担均有积极的作用,具有广阔的应用前景.
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关 键 词: | 下肢 周围神经系统疾病 创伤和损伤 超声检查,多普勒,彩色 |
收稿时间: | 2014-02-28 |
修稿时间: | 2014-04-03 |
Application of high-frequency ultrasound in the diagnosis of peripheral nerve injuring of lower extremity |
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Affiliation: | HAO Ji-kun(Department of Ultrasound, the First Teaching Hospital Affiliated to the Fourth Military Medical University, Xi'an 710032, China) ZHENG Min-juan(Department of Ultrasound, the First Teaching Hospital Affiliated to the Fourth Military Medical University, Xi'an 710032, China) CHEN Ding-zhang(Department of Ultrasound, the First Teaching Hospital Affiliated to the Fourth Military Medical University, Xi'an 710032, China) ZHANG Xiao-hui(The Physical Examination Center of the 518th Hospital of People's Liberation Army, Xi'an 710043, China) WANG Jing(Department of Ultrasound, the First Teaching Hospital Affiliated to the Fourth Military Medical University, Xi'an 710032, China) LUO Lu(Department of Ultrasound, the First Teaching Hospital Affiliated to the Fourth Military Medical University, Xi'an 710032, China) ZHOU Xiao-dong(Department of Ultrasound, the First Teaching Hospital Affiliated to the Fourth Military Medical University, Xi'an 710032, China) |
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