B超在诊治桡神经卡压综合征中的应用

Application of type-B ultrasound in diagnosis and treatment of radial nerve entrapment syndrome

目的探讨B超在诊治桡神经卡压综合征中的应用效果。方法选取我院收治的上臂桡神经卡压综合征患者28例为研究对象,所有患者采用B超和肌电图诊断上臂桡神经,比较B超和肌电图诊断结果,根据B超诊断结果对患者实施针对性治疗,并将术后证实结果与B超诊断结果进行比较。结果 B超影像显示患者侧桡神经直径和横截面积明显高于健康侧桡神经直径和横截面积,同时B超诊断结果与术后证实结果相同。结论采用B超检查上臂桡神经卡压综合征,能正确定位卡压部位、显示卡压原因,为上臂桡神经的治疗提供科学参考依据。

Objective To discuss the application effect of type-B ultrasound in the diagnosis and treatment of radial nerve entrapment syndrome. Methods Twenty-eight patients with radial nerve entrapment syndrome were selected as the study subjects. All patients were examined by type-B ultrasound and EMG to examine the radial nerve in the upper arm; the diagnostic results of type-B ultrasound were compared with EMG. According to the results of type-B ultrasound diagnosis,all patients were treated by surgery. The results of type-B ultrasound diagnosis were compared with the result confirmed by surgery. Results Type- B ultrasound images showed that the diameter and cross-sectional area of the radial nerve in the affected side were significantly higher than those of the radial nerve in the healthy side（P〈0.05） ,while the results of type-B ultrasound diagnosis were the same as the results of the operation. Conclusion Type-B ultrasonic examination used for examining the radial nerve entrapment syndrome of the upper arm,can correctly locate the clamping part, show the cause of entrapment,and provide a scientific basis for the treatment of radial nerve in the upper arm.