高频超声在周围神经损伤与再生诊断的应用进展  

Progress on high frequency ultrasonography in the diagnosis of peripheral nerve injury and regeneration

作　　者：黄韶敏[1] 陈琳[1] 

机构地区：[1]200040上海,复旦大学附属华山医院手外科

出　　处：《中华解剖与临床杂志》2014年第1期71-74,共4页Chinese Journal of Anatomy and Clinics

摘　　要：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。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.

关 键 词：高频超声 周围神经损伤 神经再生 声像图分型 形态学诊断 

分 类 号：R445.1[医药卫生—影像医学与核医学] R745[医药卫生—诊断学]