CAJ | 학술논문

目的探讨高频超声在诊断周围神经系统疾病中的临床价值.方法回顾性分析2003年1月至2006年12月手术治疗的64例周围神经损伤患者的临床资料,对手术病理结果和超声表现进行比较.结果 38例患者45支创伤性病变神经中,超声检查结果有38支与手术结果符合,占84.4%;在26例肿瘤性病变患者中超声提示肿物来源于神经16例,占约61.5%.其中四肢周围神经来源肿瘤15例,符合诊断的13例,占86.7%;非四肢周围神经来源肿瘤11例,符合诊断仅3例,占约27.3%.结论高频超声在诊断四肢周围神经损伤上能精确判断损伤部位,较准确评估损伤的程度,能给临床提供重要的诊断信息;在周围神经肿瘤特别是发生于四肢的周围神经肿瘤的诊断上有一定应用价值.
목적 탐토고빈초성재진단주위신경계통질병중적림상개치.방법 회고성분석2003년1월지2006년12월수술치료적64례주위신경손상환자적림상자료,대수술병리결과화초성표현진행비교.결과 38례환자45지창상성병변신경중,초성검사결과유38지여수술결과부합,점84.4%;재26례종류성병변환자중초성제시종물래원우신경16례,점약61.5%.기중사지주위신경래원종류15례,부합진단적13례,점86.7%;비사지주위신경래원종류11례,부합진단부3례,점약27.3%.결론 고빈초성재진단사지주위신경손상상능정학판단손상부위,교준학평고손상적정도,능급림상제공중요적진단신식;재주위신경종류특별시발생우사지적주위신경종류적진단상유일정응용개치.
Objective To evaluate the clinical value of high frequency ultrasound in diagnosing peripheral nerve diseases (PNDs). Methods Sixty-four cases of PNDs were analyzed retrospectively. The ultrasound diagnosis was compared with the operative and pathological diagnosis. Results Based on the operative and histopathological results, in 38 patients with trauma or entrapment, 38 among 45 traumatic nerves were rightly diagnosed by ultrasound. The coincidence rate was 84.4%. In 26 patients with original peripheral nerve tumors (PNTs), including 20 neurilemomas, 4 neurofibromas and 2 malignant neurilemomas, 16 cases were diagnosis correctly by ultrasound with a coincidence rate of 61.5%. The coincidence rates in limbs and trunk were 86.7%（13/15）and 27.3%(3/11) respectively. Conclusions The study suggests that high frequency ultrasound can locate peripheral nerve trauma precisely, assessment the impair degree correctly and provide useful information for clinic diagnosis. The high frequency ultrasound brings better diagnosis outcome in limbs nerve tumors than in trunk.