高分辨率超声检测尺神经直径在肘管综合征中的应用  

Application of ulnar nerve diameter changes examined by HRUS in patients with cubital tunnel syndrome

作　　者：张光辉[1] 张志[1] 张清林[1] 韩明通[1] 张磊[2] ZHANG Guang-hui;ZHANG Zhi;ZHANG Qing-lin;HAN Ming-tong;ZHANG Lei(Department of Hand and Foot Surgery,Affiliated Hospital of Jining Medical University,Jining 272011,Shandong,China;Jining Medical University,Jining 272011,Shandong,China)

机构地区：[1]济宁医学院附属医院手足外科,山东济宁272011 [2]济宁医学院,山东济宁272011

出　　处：《中国骨伤》2023年第6期550-553,共4页China Journal of Orthopaedics and Traumatology

基　　金：济宁市重点研发计划项目(编号:2021YXNS115)。

摘　　要：目的:评价高分辨率超声在肘管综合征诊断及预后中的价值。方法:自2018年1月至2019年6月,采用尺神经松解并皮下前置术的方法治疗47例肘管综合征患者。男41例,女6例;年龄27~73岁;右侧31例,左侧15例,双侧1例。术前、术后应用高分辨率超声检测尺神经直径,术中直观下进行测量,以尺神经功能评定试行标准评估患者恢复状态,并调查患者满意度。结果:47例患者术后切口均为Ⅰ级愈合并全部获得随访,于出院后12个月进行随访。术前尺神经受压部位的直径(0.16±0.04)cm,术后为(0.23±0.04)cm。尺神经功能评定结果:优16例,良18例,可13例。术后12个月满意度结果:满意28例,一般10例,不满意9例。结论:高分辨率超声术前检查与术中直观测量一致,术后高分辨率超声检查结果与随访结果一致,高分辨率超声为肘管综合征诊治的有效辅助手段。Objective To evaluate the value of high-resolution ultrasound the diagnosis and prognosis of cubital tunnel syndrome.Methods From January 2018 to June 2019,47 patients with cubital tunnel syndrome were treated with ulnar nerve release and anterior subcutaneous transposition.There were 41 males and 6 females,aged from 27 to 73 years old.There were 31 cases on the right,15 cases on the left,and 1 case on both sides.The diameter of ulnar nerve was measured by high-resolution ultrasound pre-and post-operatively,and measured directly during the operation.The recovery status of the patients was evaluated by the trial standard of ulnar nerve function assessment,and the satisfaction of the patients was assessed.Results All the 47 cases were followed up for an average of 12 months and the incisions healed well.The diameter of ulnar nerve at the compression level was(0.16±0.04)cm pre-operatively,and the diameter of ulnar nerve was(0.23±0.04)cm post-operatively.The evaluation of ulnar nerve function:excellent in 16 cases,good in 18 cases and fair in 13 cases.Twelve months post-operatively,28 patients were satisfied,10 patients were general and 9 patients were dissatisfied.Conclusion The preoperative examination of ulnar nerve by high-resolution ultrasound is consistent with the intuitive measurement during operation,and the result of postoperative examination of ulnar nerve by high-resolution ultrasound is consistent with follow-up results.High-resolution ultrasound is an effective auxiliary method for the diagnosis and treatment of cubital tunnel syndrome.

关 键 词：超声检查 肘管综合征 尺神经 

分 类 号：R651.3[医药卫生—外科学]