Cross sectional area reference values for sonography of peripheral nerves and brachial plexus
Cross sectional area reference values for sonography of peripheral nerves and brachial plexus
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DOI：
10.1016/j.clinph.2013.03.007
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发表时间：
2013-09-01
影响因子：
4.7
通讯作者：
Yoon, Min-Suk
中科院分区：
文献类型：
--
作者：
Kerasnoudis, Antonios;Pitarokoili, Kalliopi;Yoon, Min-Suk
目的：超声测量横截面积（CSA）变异性是近年来提出的一种定量周围神经（PN）病理变化的方法。方法：报道75例健康人的参考值及其与年龄、身高、体重和性别的关系。结果：PN的平均值为：（1）神经内CSA变异性：（2）神经内CSA变异性：（3）神经内CSA变异性;中位数1.05（SD +/-0.13），尺骨1.53（SD +/-0.51），腓骨1.33（SD +/-0.37），胫骨1.39（SD +/-0.39），（2）神经间CSA变异性1.76（SD +/-0.37），（3）神经丛内CSA变异性1.52（SD +/-0.37），（4）CSA变异性的侧-侧差异比：正中神经1.21（SD +/-0.04），尺骨1.2（SD +/-0.25），腓骨1.19（SD +/-0.23），胫骨1.28（SD +/-0.24）和臂丛神经1.19（SD +/-0.23）。CSA与PN中的身高无关，但与尺神经重量相关[Guyon管，r = 0.411，p = 0.0237，肘部r = 0.409，p = 0.0248]。仅在尺神经（Guyon管，p = 0.0265）、腓骨神经（腘窝，p = 0.0336）和腓肠神经（p = 0.048）中发现性别间的显著变化。CSA随着年龄的增长而下降，（腋窝，p = 0.0236）和桡神经（螺旋沟，p = 0.0037），胫神经增加（踝关节，p <0.0001）。结论：CSA参考值在某些部位似乎与年龄、体重和性别相关，但与身高无关。新的CSA变异性测量可能有助于研究PN的病理。(C)2013年国际临床神经生理学联合会。由Elsevier爱尔兰有限公司出版。保留所有权利。
Objective: Ultrasound measurements of the cross sectional area (CSA) variability have been recently introduced to quantify pathological changes in peripheral nerves (PN).Methods: Reference values from 75 healthy subjects and their correlation to age, height, weight and sex are reported.Results: The mean values in PN were: (1) intranerve CSA-variability: median 1.05 (SD +/- 0.13), ulnar 1.53 (SD +/- 0.51), fibular 1.33 (SD +/- 0.37), tibial 1.39 (SD +/- 0.39), (2) internerve CSA-variability 1.76 (SD +/- 0.37), (3) intraplexus CSA-variability 1.52 (SD +/- 0.37), (4) side-to-side difference ratio of the CSA-variability: median 1.21 (SD +/- 0.04), ulnar 1.2 (SD +/- 0.25), fibular 1.19 (SD +/- 0.23), tibial 1.28 (SD +/- 0.24) and brachial plexus 1.19 (SD +/- 0.23). CSA did not correlate with height in PN, but correlated with weight in the ulnar nerve [Guyon's canal, r = 0.411, p = 0.0237, elbow r = 0.409, p = 0.0248]. Significant changes between sex were found only in the ulnar (Guyon's canal, p = 0.0265), fibular (popliteal fossa, p = 0.0336) and sural nerve (p = 0.048). CSA decreased with age in the median (axilla, p = 0.0236), and radial nerve (spiral groove, p = 0.0037) and increased in the tibial nerve (ankle, p < 0.0001).Conclusions: The CSA reference values reported seem to correlate at certain sites with age, weight and sex but not with height.Significance: The new CSA variability measures may be helpful in investigating pathologies of the PN. (C) 2013 International Federation of Clinical Neurophysiology. Published by Elsevier Ireland Ltd. All rights reserved.