高频彩色多普勒超声诊断周围神经损伤的临床效果分析

Clinical effect of high-frequency color Doppler ultrasound in the diagnosis of peripheral nerve injury

目的:探讨高频彩色多普勒超声诊断周围神经损伤的临床效果。方法:选取2016年6月—2018年5月收治的52例周围神经损伤患者,所有患者均经手术证实,且均行高频彩色多普勒超声检查,分析周围神经损伤患者超声表现。结果:以手术结果作为金标准,52例周围神经损伤患者中,49例经高频超声确诊,3例误诊,诊断准确率为94.23%;52例患者经高频超声诊断,36例位于上肢(其中肘部以上5例,肘部以下31例),8例位于下肢,8例位于颈部;创伤性神经瘤38例,卡压性损伤11例,周围神经完全断裂3例;臂丛神经损伤7例,正中神经损伤5例,尺神经损伤14例,桡神经损伤19例,坐骨神经损伤3例,腓总神经损伤3例,腓浅神经损伤1例。结论:高频彩色多普勒超声诊断周围神经损伤具有较高的诊断准确率,可有效明确患者的损伤部位、损伤节段及损伤类型。

Objective:To investigate the clinical effect of high-frequency color Doppler ultrasound in the diagnosis of peripheral nerve injury.Methods:All 52 patients with peripheral nerve injury in the hospital from June 2016 to May 2018 were selected as the subjects.All patients were confirmed by operation and given high-frequency color Doppler ultrasound examination.The ultrasound characteristics of patients with peripheral nerve injury were analyzed.Results:The operative results were taken as the gold standard,49 cases of peripheral nerve injury were diagnosed by high-frequency ultrasound among 52 cases,3 cases were misdiagnosed,and the diagnostic accuracy was 94.23%;36 cases in the upper limbs were diagnosed by high-frequency ultrasound among 52 patients,including 5 cases above the elbow,31 cases below the elbow,8 cases in the lower limbs,and 8 cases in the neck;There were 38 cases of traumatic neuroma,11 cases of compression injury,3 cases of peripheral nerve complete rupture;There were 7 cases of brachial plexus nerve injury,5 cases of median nerve injury,14 cases of ulnar nerve injury,19 cases of radial nerve injury,3 cases of sciatic nerve injury,3 cases of common proneal nerve injury,1 case of superficial peroneal nerve injury.Conclusion:High-frequency color Doppler ultrasound in the diagnosis of peripheral nerve injury has higher diagnostic accuracy,it can effectively identify the site,segment and type of injury.