腕管综合征和肘管综合征的超声影像学研究  

Ultrasonic imaging study of carpal tunnel syndrome and cubital tunnel syndrome

作　　者：张蕴楚[1] 陈定章[1] 罗二平[2] 朱永胜[1] 丛锐[3] 周晓东[1] 

机构地区：[1]第四军医大学西京医院超声科,西安市710032 [2]第四军医大学生物医学工程系 [3]第四军医大学西京医院骨科,西安市710032

出　　处：《临床超声医学杂志》2009年第11期729-731,共3页Journal of Clinical Ultrasound in Medicine

基　　金：陕西省科技攻关基金[2006K12-G2(1)]

摘　　要：目的探讨超声在腕管综合征和肘管综合征中的诊断价值。方法80例健康者为对照组,临床疑诊27例腕管综合征和32例肘管综合征患者,超声测量其正中神经、尺神经的前后径、左右径及横截面积,同时测定神经传导速度。结果腕管综合征和肘管综合征组正中神经、尺神经的前后径、左右径及横截面积均大于对照组(P<0.01),腕管综合征和肘管综合征组的病变神经横截面积均与运动传导速度呈负相关(r分别为?0.76、?0.80)。结论超声可为腕管综合征和肘管综合征的诊断提供影像学依据,并对其治疗及疗效评价有重要价值。Objective To explore the diagnostic value of uhrasonography in carpal tunnel syndrome and cubital tunnel syndrome. Methods Eighty healthy subjects as control group, 27 patients with suspected carpal tunnel syndrome and 32 patients with suspected cubital tunnel syndrome were enrolled in this study. Their anteroposterior diameters, transverse diameters and cross sectional areas （ CSA ） of median nerves and ulnar nerves were measured by ultrasound. Then the motor nerve conduction velocity was measured. Results The anteroposterior diameters, transverse diameters and CSA of median nerves and ulnar nerves in carpal tunnel syndrome group and cubital tunnel syndrome group were more than those in control group （P 〈 0.01 ）. There was negative correlation between the CSA of affection nerve in carpal tunnel syndrome group and cubital tunnel syndrome group and motor nerve conduction velocity （ r = - 0.76, - 0.80, respectively）. Conclusion Ultrasound can provide more imaging information in diagnosis of carpal tunnel syndrome and eubital tunnel syndrome, and it has important value for treatment and therapeutic effect evaluation.

关 键 词：腕管综合征 肘管综合征 超声检查 

分 类 号：R681.7[医药卫生—骨科学] R445.1[医药卫生—外科学]