Follow-up evaluation with ultrasonography of peripheral nerve injuries after an earthquake.
Follow-up evaluation with ultrasonography of peripheral nerve injuries after an earthquake.
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DOI：
10.4103/1673-5374.130095
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发表时间：
2014-03-15
影响因子：
6.1
通讯作者：
Jiang Z
中科院分区：
文献类型：
--
作者：
Lu M;Wang Y;Yue L;Chiu J;He F;Wu X;Zang B;Lu B;Yao X;Jiang Z
关于地震相关的周围神经损伤的公开数据非常有限。超声检查已被证明是有效的，在临床上诊断周围神经损伤。本研究的目的是评估超声在评估汶川地震后1年持续性周围神经损伤中的作用。对34例有持续临床症状和神经功能受损的神经系统体征的患者在手术修复前进行超声检查。34例患者超声检查发现周围神经卡压48条，周围神经断裂11条。超声误诊1例。超声检查与手术结果的符合率为98%。共48条受累神经接受了神经松解术，症状得到缓解。仅5条神经有瘢痕组织卡压。术前、术后临床及超声检查结果一致，证实超声检查对周围神经损伤的术前诊断及术后评估有一定价值。
Published data on earthquake-associated peripheral nerve injury is very limited. Ultrasonography has been proven to be efficient in the clinic to diagnose peripheral nerve injury. The aim of this study was to assess the role of ultrasound in the evaluation of persistent peripheral nerve injuries 1 year after the Wenchuan earthquake. Thirty-four patients with persistent clinical symptoms and neurologic signs of impaired nerve function were evaluated with sonography prior to surgical repair. Among 34 patients, ultrasonography showed that 48 peripheral nerves were entrapped, and 11 peripheral nerves were disrupted. There was one case of misdiagnosis on ultrasonography. The concordance rate of ultrasonographic findings with those of surgical findings was 98%. A total of 48 involved nerves underwent neurolysis and the symptoms resolved. Only five nerves had scar tissue entrapment. Preoperative and postoperative clinical and ultrasonographic results were concordant, which verified that ultrasonography is useful for preoperative diagnosis and postoperative evaluation of injured peripheral nerves.