高频超声在糖尿病下肢周围神经病中的应用  

The Utilization of High Resolution Ultrasonography in Diabetic Peripheral Neuropathy of Lower Extremities

作　　者：周晗 张文川[1] ZHOU Han;ZHANG Wen-chuan(Department of Neurosurgery,Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200092,Chin)

机构地区：[1]上海交通大学医学院附属新华医院神经外科,上海200092

出　　处：《中国临床神经科学》2018年第4期471-474,共4页Chinese Journal of Clinical Neurosciences

基　　金：国家自然科学基金(编号:8177050199);上海市科委医学引导类科技支撑项目(编号:17411966300)

摘　　要：糖尿病性周围神经病(DPN)是糖尿病最常见的并发症之一,麻木、疼痛、溃烂等症状给患者带来极大的痛苦。常用的神经电生理检查无法反映形态学信息。近年来,随着超声技术的进步与DPN神经减压术的发展,高频超声在DPN患者神经的形态学评估中体现出重要价值,其定位精确,显像精细,可配合神经电生理检查为诊断提供客观依据,并为DPN神经减压手术提供术前指导与术后评估。Diabetic Peripheral Neuropathy（DPN） is one of the most common complications of diabetic mellitus. Patients with DPN are suffering from numbness, pain and ulcer. The electrophysiological examination is used to assess the patients＇ nerves, but it cannot reflect the morphological changes. Recently, with the development of ultrasonic technology and the nerve decompression of DPN, high resolution ultrasonography（HRUS） plays an increasingly important role in the evaluation of nerves of patients with DPN. Due to its clear displaying and precise positioning, HRUS can provide objective evidence for the diagnosis of DPN when combined with the use of the electrophysiological examination, as well as provide preoperative guidance and postoperative evaluation for surgical decompression.

关 键 词：高频超声 糖尿病性周围神经病 下肢 周围神经 横截面积 

分 类 号：R745[医药卫生—神经病学与精神病学] R587.1[医药卫生—临床医学]