Evaluation of peripheral nerves of the upper limb with ultrasonography: a comparison of ultrasonographic examination and the intra-operative findings.
Evaluation of peripheral nerves of the upper limb with ultrasonography: a comparison of ultrasonographic examination and the intra-operative findings.
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DOI：
10.1302/0301-620x.91b6.22284
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发表时间：
2009-06
期刊：
影响因子：
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通讯作者：
T. Toros;Nuri Karabay;K. Ozaksar;T. S. Sugun;M. Kayalar;E. Bal
中科院分区：
文献类型：
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作者：
T. Toros;Nuri Karabay;K. Ozaksar;T. S. Sugun;M. Kayalar;E. Bal
我们前瞻性研究了26例连续的患者，临床记录的感觉或运动缺陷的周围神经，由于创伤或卡压使用超声，并在19例手术探查的神经。超声诊断与神经系统检查和手术结果相关。所有患者均在超声检查中实现了损伤神经的可靠可视化。轴突肿胀和低回声的神经被诊断为15例，损失的连续性的神经束在17，形成的神经瘤的残端在6，和部分撕裂的神经与损失的正常束模式在5。手术组的超声检查结果在手术时得到证实。超声可用于上肢周围神经损伤的评估。高分辨率超声可以显示病变的确切位置，范围和类型，产生其他诊断辅助工具可能无法获得的重要信息。
We prospectively studied 26 consecutive patients with clinically documented sensory or motor deficiency of a peripheral nerve due to trauma or entrapment using ultrasound, and in 19 cases surgical exploration of the nerves was undertaken. The ultrasonographic diagnoses were correlated with neurological examination and the surgical findings. Reliable visualisation of injured nerves on ultrasonography was achieved in all patients. Axonal swelling and hypoechogenity of the nerve was diagnosed in 15 cases, loss of continuity of a nerve bundle in 17, the formation of a neuroma of a stump in six, and partial laceration of a nerve with loss of the normal fascicular pattern in five. The ultrasonographic findings were confirmed at operation in those who had surgery. Ultrasound may be used for the evaluation of peripheral nerve injuries in the upper limb. High-resolution ultrasound can show the exact location, extent and type of lesion, yielding important information that might not be obtainable by other diagnostic aids.