高频彩色多普勒超声显像评价健康成人胫神经及主要分支的特点和意义  

Characteristics and significance of high-frequency color Doppler ultrasound in assessing tibial nerve and its main branches of healthy adults

作　　者：袁晨 景江新[1] 刘纯红[1] Yuan Chen;Jing Jiangxin;Liu Chunhong(Department of Ultrasound,the Second Affiliated Hospital of Xinjiang Medical University,Urumqi 830063,Xinjiang Uygur Autonomous Region,China)

机构地区：[1]新疆医科大学第二附属医院超声科,新疆维吾尔自治区乌鲁木齐市830063

出　　处：《中国组织工程研究》2018年第35期5681-5686,共6页Chinese Journal of Tissue Engineering Research

基　　金：新疆医科大学研究生创新创业项目(CXCY2017070)~~

摘　　要：背景:在过去的10年中神经肌肉超声已经成为周围神经疾病诊断的有效手段,国外仅有少量学者对胫神经全程进行研究,但目前国内尚未见超声学者对胫神经自腘窝上角至足底分支全程的详细报道。目的:探究正常成人胫神经及其主要分支高频彩色多普勒超声(高频彩超)声像图特点及其可能的临床意义。方法:用高频彩超探查200名健康成人志愿者400条胫神经及其主要分支,观察其声像图特点、走行、毗邻结构及血流信号显示情况;分别测量腘窝、内踝处胫神经及足底处胫神经分支的前后径、左右径及横截面积并进行统计学分析。结果与结论:(1)高频彩超对200名志愿者胫神经全程显示率为100%,走行规律且声像图具备一定特点;(2)左右侧对比,胫神经在所选位点测值差异均无显著性意义(P> 0.05);(3)男女对比,男性胫神经在所选位点的横截面积均较女性稍大,但差异无显著性意义(P> 0.05);(4)胫神经横截面积与身高和体质量均呈正相关性(P <0.01);(5)结果表明,高频彩超对胫神经及其主要分支具有良好的显示效果,可为基础解剖学研究提供可能的正常成人影像学数据。关键词:BACKGROUND:In the past decades,neuromuscular ultrasound has become an effective method for the diagnosis of peripheral nerve diseases.Only a few scholars at abroad have studied the tibial nerve in detail.However,the details of armpit to the plantar branches of the tibial nerve are none reported in China.OBJECTIVE:To investigate the features of high-frequency color Doppler ultrasound sonography of normal adult phrenic nerve and its main branches and its possible clinical significance.METHODS:Ultrasonography was used to probe 200 healthy adult volunteers with 400 tibial nerves and their main branches to observe the characteristics of the sonographic features,walking,adjoining structures,and blood flow signal display.The anteroposterior diameter,lateral diameter and cross-sectional area of the iliac nerves and soles at the axillary and medial malleolus were measured.RESULTS AND CONCLUSION:(1)High-frequency color Doppler ultrasound showed 100%display rate of sacral nerves in 200 healthy adult volunteers,and their walking and sonography had certain characters.(2)There was no significant difference between left and right tibial nerves at the selected sites(P>0.05).(3)The cross-sectional area of male tibial nerve at the selected sites was slightly larger than that of the females(P>0.05).(4)The cross-sectional area of tibial nerve was positively correlated with height and body mass(P<0.01).(5)These results imply that high-frequency color ultrasound has a good display for the tibial nerve and its main branches,which can provide normal human imaging data for anatomical studies.

关 键 词：高频彩色多普勒超声检查 高频彩超 胫神经 足底内外侧神经 声像图 超声检查 多普勒 胫神经 组织工程 

分 类 号：R445.1[医药卫生—影像医学与核医学]