中国全科医学2018，Vol.21Issue(9)：1130-1134,5.DOI:10.3969/j.issn.1007-9572.2018.00.031
实时动态超声在肘管综合征诊断中的临床价值
Clinical Value of Real-time Dynamic Ultrasonography in the Diagnosis of Cubital Tunnel Syndrome
公春丽 1刘英 2阚艳敏1
作者信息
- 1. 063000 河北省唐山市,华北理工大学附属医院超声科
- 2. 063000 河北省唐山市第二医院超声科
- 折叠
摘要
Abstract
Objective To explore the clinical value and significance of real-time dynamic ultrasonography in the diagnosis of cubital tunnel syndrome (CuTS). Methods Forty patients with surgically confirmed CuTS receiving treatment in the Second Hospital of Tangshan from June 2016 to March 2017 were enrolled. All of them underwent ultrasonography using HD15 Ultrasound System produced by Philips. The affected upper limbs as well as the healthy upper limbs of the patients were set as the CuTS group, and control group, respectively. Both longitudinal and cross-sectional scanning were used to detect the ulnar nerve morphology. The thickness of the entrapment and the most thickest part of the ulnar nerve on the longitudinal section was measured, and the ratio between the two was calculated. The cross-sectional area (CSA) of the ulnar nerve at three sites (humeral medial epicondyle, 2 cm above the supracondylar and 2 cm below the distal end of the condyle) was measured in the cross-section at elbow extension and flexion, respectively, and the difference between the two (ΔCSA) was calculated. Results The thickness and the ratio of the ulnar nerve at the CuTS group were less than those of control group, and the thickness of the ulnar nerve in the CuTS group was greater than that of the control group (P<0.05).The average CSA of the ulnar nerve at the aforementioned three sites at elbow extension and flexion, as well as the average ΔCSA between the two for the affected upper limb of GuTS group were all greater than those of control group (P<0.05). Conclusion ΔCSA can be calculated based on the measurement results of real-time dynamic ultrasonography, which provides a reference for clinical selection of surgical treatment.关键词
超声检查/肘管综合征/诊断Key words
Ultrasonography/Cubital tunnel syndrome/Diagnosis分类
医药卫生引用本文复制引用
公春丽,刘英,阚艳敏..实时动态超声在肘管综合征诊断中的临床价值[J].中国全科医学,2018,21(9):1130-1134,5.
