超声检测成人髂腹股沟神经

发布时间：2018-03-27 15:22

  本文选题：髂腹股沟神经　切入点：超声　出处：《中国超声医学杂志》2017年06期

【摘要】：目的探讨成人髂腹股沟神经(IIN)的超声表现及临床应用。方法利用超声测量254例志愿者的IIN在穿出腹横肌、腹内斜肌、腹外斜肌腱膜时分别距髂嵴最高点、髂前上棘内侧、耻骨联合上缘的骨性标志点以及至皮肤表皮的距离,并分析其可行性。对比各指标在性别、左右侧、不同BMI组之间的差异。结果 (1)正常IIN在纵切面上呈低回声条状结构,横切面呈圆形低回声。(2)同一或不同医师测量各指标的可行性较好。(3)各指标在不同性别之间差异有统计学意义(P均0.05);左右侧之间差异无统计学意义(P均0.05);同一性别不同BMI组之间,3个肌肉穿肌点分别与各骨性标志的距离之间的差异无统计学意义(P均0.05),而在各肌肉穿肌点与皮肤表皮之间的距离之间差异有统计学意义(P均0.05)。结论高频超声可清晰显示INN在穿出腹横肌、腹内斜肌、腹外斜肌腱膜时的形态,具有一定的临床价值。
[Abstract]:Objective to investigate the ultrasonographic manifestations and clinical application of Iine in adult ilioinguinal nerve. Methods the IIN of 254 volunteers was measured with ultrasound to distance from the highest point of iliac crest and the medial anterior superior iliac spine when perforating the ventral transverse muscle, the internal oblique muscle and the external oblique muscle aponeurosis. The distance between the upper margin of pubic symphysis and the skin epidermis was analyzed, and its feasibility was analyzed. The differences among different BMI groups were compared. Results 1) the normal IIN showed a hypoechoic stripe structure on the longitudinal plane. The cross section is round hypoechoic. (2) the feasibility of measuring each index by the same or different doctor is better. 3) the difference of each index is statistically significant (P < 0.05); the difference between left and right is not statistically significant (P = 0.05); the same sex is different (P = 0.05). In different BMI groups, there was no significant difference in the distance between the three muscle perforating points and each bone marker (P 0.05), but there was significant difference in the distance between the muscle perforator point and the skin epidermis (P 0.05). High frequency ultrasound can clearly display INN in the perforation of the transverse ventral muscle. The shape of the aponeurosis of the internal oblique muscle and the external oblique muscle has certain clinical value.
【作者单位】： 福建医科大学附属第二医院超声科;泉州医学高等专科学校临床教研室;
【分类号】：R445.1;R656
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本文编号：1672088