Ultrasound of the cervical roots and brachial plexus in neonates

Ultrasound of the cervical roots and brachial plexus in neonates
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新生儿颈根和臂丛的超声检查

DOI:
10.1002/mus.24284
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发表时间:
2015
期刊:
影响因子:
3.4
通讯作者:
N. Alfen
N. Alfen
中科院分区:
医学3区
文献类型:
--
作者:
S. Pillen;B. Semmekrot;J. Meulstee;A. Verrips;N. Alfen

文献摘要

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简介:在这个探索性研究中,我们探讨了超声是否能显示新生儿颈根和臂丛。方法:对12例小于2天的健康新生儿,采用小尺寸15-7 MHz换能器单侧超声研究颈部区域。结果:C5-C8神经根和臂丛的神经根出口可以被充分地描绘,以评估其完整性。与成人相比,新生儿臂丛与周围区域更难区分,特别是在斜角肌间区,因为其周围肌肉和神经的结缔组织较少。此外,大量棕色脂肪的沉积使得新生儿颈部的超声外观与成人不同。结论:新生儿颈神经根超声检查是可行的,可作为产科臂丛神经损伤中评估神经根完整性的一种无创筛查技术。中国机械工程学报(英文版),2015
Introduction: In this exploratory study we investigated whether ultrasound can visualize the neonatal cervical roots and brachial plexus. Methods: In 12 healthy neonates <2 days old, the neck region was studied unilaterally with ultrasound using a small‐footprint 15–7‐MHz transducer. Results: The C5–C8 nerve roots and brachial plexus could be imaged with sufficient delineation of the root exits to assess their integrity. The brachial plexus was more difficult to discern from the surrounding area in neonates compared with adults, especially in the interscalene region because of the smaller amount of connective tissue in and surrounding muscles and nerves. In addition, the large deposits of brown fat make for a different ultrasound appearance of the neonatal neck compared with adults. Conclusions: Ultrasound of the neonatal cervical nerve roots is feasible and may be used as a non‐invasive screening technique to assess nerve root integrity in obstetric brachial plexus injury. Muscle Nerve 51: 35–41, 2015