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肘管综合征的高频超声诊断
引用本文:黄瑞娜,叶秀芳,刘南平,周立民.肘管综合征的高频超声诊断[J].宁夏医科大学学报,2011(6):558-561,F0004.
作者姓名:黄瑞娜  叶秀芳  刘南平  周立民
作者单位:宁夏医科大学;宁夏医科大学总医院超声科;宁夏医科大学总医院神经电生理科;
基金项目:宁夏医科大学面上项目(XM200949)
摘    要:目的探讨高频超声在肘管综合征病变中的临床应用价值。方法对39例经临床和神经电生理拟诊为肘管综合征(CTS)的患者(40肘)为研究对象(患肢组),20名健康志愿者40只肘为正常对照组,进行肘部超声检查,并将患肢组检查结果与术前肌电图检查结果和术中所见进行比较。结果高频超声对尺神经卡压的检出率较高,对照组与患肢组尺神经厚度肿胀率和横截面积(CSA)肿胀率有显著变化,差异有统计学意义(P〈0.05),患肢组尺神经的CSA与运动传导速度(MNCV)呈负相关(r=-0.933,P〈0.01)。结论高频超声检查能实时动态观察尺神经卡压征象并明确病因,对肘管综合征诊断具有重要参考价值,为临床提供了一种简单、可靠的无创检查方法。

关 键 词:尺神经病  肘管综合征  超声检查  卡压性神经病变

High Frequency Ultrasonographic in Diagnosis of Cubital Tunnel Syndrome
HUANG Rui-na,YE Xiu-fang,LIU Nan-ping,ZHOU Li-min.High Frequency Ultrasonographic in Diagnosis of Cubital Tunnel Syndrome[J].Journal of Ningxia Medical College,2011(6):558-561,F0004.
Authors:HUANG Rui-na  YE Xiu-fang  LIU Nan-ping  ZHOU Li-min
Institution:HUANG Rui-na1,YE Xiu-fang2,LIU Nan-ping3,ZHOU Li-min3 (1.Ningxia Medical Univercity,Yinchuan 750004,2.Department of Ultrasound,the General Hospital of Ningxia Medical University,3.Department of Electrophysiology,Yinchuan 750004)
Abstract:Objective To explore the value of high-resolution ultrasonography(US) in diagnosis of cubital tunnel syndrome.Methods 39 patients with cubital tunnel syndrome(CTS,40 elbows) were selected as limb group and 15 healthy volunteers were selected as normal control group.All subjects underwent Ultrasound(US) of the ulnar nerve.The findings of US measurement were compared with those of intra-operative and pre-operative electromyography.Results Detection of ulnar nerve compression with High-frequency ultrasound was...
Keywords:ulnar neuropathy  cubital tunnel syndrome  ultrasound  entrapment neuropathy  
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