中华解剖与临床杂志
中華解剖與臨床雜誌
중화해부여림상잡지
Chinese Journal of Anatomy and Clinics
2014年
1期
71-74
,共4页
高频超声%周围神经损伤%神经再生%声像图分型%形态学诊断
高頻超聲%週圍神經損傷%神經再生%聲像圖分型%形態學診斷
고빈초성%주위신경손상%신경재생%성상도분형%형태학진단
High frequency ultrasound%Peripheral nerve injury%Nerve regeneration%Classifications on images of ultrasound%Morphology diagnosis
目的 总结高频超声在周围神经损伤与再生诊断领域的应用价值.方法 以“高频超声”、“周围神经损伤”和“神经再生”作为关键词,在Elsevier ScienceDirecr、EBSCO全文数据库、万方数据、中国知网等数据库中检索近年发表的相关文章,并对高频超声在周围神经损伤领域诊断进展情况进行归纳总结.结果 高频超声诊断周围神经损伤临床上具有多元的方法;临床上神经多平面性损伤很难通过电生理以及其他方式进行诊断,但利用超声检查可诊断出多节段损伤,避免治疗的盲目性、减少手术次数并为手术提供了明确的手术入路.结论 尽管对周围神经损伤的认识已相当成熟,但其早期诊断方法在临床上尚存在争议及进步空间.如何利用高频超声在术前有形态学证据诊断神经损伤成为高频超声之优势.
目的 總結高頻超聲在週圍神經損傷與再生診斷領域的應用價值.方法 以“高頻超聲”、“週圍神經損傷”和“神經再生”作為關鍵詞,在Elsevier ScienceDirecr、EBSCO全文數據庫、萬方數據、中國知網等數據庫中檢索近年髮錶的相關文章,併對高頻超聲在週圍神經損傷領域診斷進展情況進行歸納總結.結果 高頻超聲診斷週圍神經損傷臨床上具有多元的方法;臨床上神經多平麵性損傷很難通過電生理以及其他方式進行診斷,但利用超聲檢查可診斷齣多節段損傷,避免治療的盲目性、減少手術次數併為手術提供瞭明確的手術入路.結論 儘管對週圍神經損傷的認識已相噹成熟,但其早期診斷方法在臨床上尚存在爭議及進步空間.如何利用高頻超聲在術前有形態學證據診斷神經損傷成為高頻超聲之優勢.
목적 총결고빈초성재주위신경손상여재생진단영역적응용개치.방법 이“고빈초성”、“주위신경손상”화“신경재생”작위관건사,재Elsevier ScienceDirecr、EBSCO전문수거고、만방수거、중국지망등수거고중검색근년발표적상관문장,병대고빈초성재주위신경손상영역진단진전정황진행귀납총결.결과 고빈초성진단주위신경손상림상상구유다원적방법;림상상신경다평면성손상흔난통과전생리이급기타방식진행진단,단이용초성검사가진단출다절단손상,피면치료적맹목성、감소수술차수병위수술제공료명학적수술입로.결론 진관대주위신경손상적인식이상당성숙,단기조기진단방법재림상상상존재쟁의급진보공간.여하이용고빈초성재술전유형태학증거진단신경손상성위고빈초성지우세.
Objective To describe research progress on high frequency ultrasonic in the diagnosis of peripheral nerve injury and regeneration.Methods To search and consult all the literatures available by the key words of high frequency ultrasound,peripheral nerve injury and nerve regeneration in the database of Elsevier ScienceDirecr,EBSCO,wanfang and CNKI,all the literatures were comprehensively analyzed and summarized.Results Although approaches to diagnose nerve damage were countless,the clinical diagnosis of multiple planes nerve injury was difficult.Using ultrasonic before surgery could diagnose multiple planes nerve injury,avoid blindness of treatment and lower surgery numbers.Pre-surgery qualitative diagnosis and preoperative diagnosis would offer surgical approach more clearly.Conclusions Although with a quite mature acknowledge for nerve injury of peripheral nerve,it still remains controversial on surgical approach for nerve injury in the first place.Patients with different injury degree need to be taken care and given treatment as soon as possible,otherwise it's hard to get expected treatment result.How to get the morphology evidence of nerve injury before surgery is the pioneer part of high frequency ultrasound.
