高频超声及肌电诱发电位联合应用诊断臂丛神经病变的应用价值探讨
发布时间：2018-10-09 20:24
【摘要】：就近年来由于外伤造成的臂丛神经损伤患者的人数呈逐渐上升趋势,近年来臂丛神经损伤患者临在床中十分常见,对于该病的患者在治疗的过程中是比较困难的,预后较差,对于治疗的最好结果也是会有很高的致残率,给家人和社会还有医学界都带来了一定的冲击和压力,就目前的医疗技术手段来说,没有办法完全的达到治愈的目的,很多的专家认为对于治疗疾病的办法面临的困难还是比较严峻的,对于臂丛神经安全的损伤或者是臂丛神经的不完全损伤中,很多的医学院的权威人物大多数的时候是采用神经移位术或者是神经松懈的方法来对移植的方法进行治疗。选择正确的治疗方案,最大程度的恢复患肢功能,这就对损伤神经的早期精确定位、定性诊断提出了更高的要求。在手术之前应该对受损的部位进行高频超声检查,对于神经结构的连续性进行判断。但是,在判断的过程中对于二者都是存在着一定程度的影响,准确性并不是十分的明显,都存在着一定的局限性。联合诊断的临床应用能够明显提高臂丛神经病变检测的敏感度和准确率,减少误诊和漏诊现象,比单一检测手段诊断具有更加显著的优势,能为临床治疗方案确认提供更加准确可靠的参考依据。对于臂丛神经的损伤或者是病神经不完全的损伤,在手术前大多数的时候都是此阿勇了高频超声进行检查,在检查的过程中主要表现的就是受损神经和神经线性强回声连续的的中断或者是出现完全性质的中断,中断现象表现出了的就是有声或者是无声的现象。线性回声模糊,超声的探察的结果和实际的观察是比较明显的,从这些结论我们可以看出,他的敏感度、特异性和准确度分别是77%、75%、77%。高频超声能够起到很好的作用和帮助,可以对臂丛神经与周围的组织进行区分的,对臂丛神经的损伤地方进行重新的诊断,治疗以及术后提供借鉴的作用。
[Abstract]:In recent years, the number of patients with brachial plexus injury caused by trauma is increasing gradually. In recent years, brachial plexus injury patients are very common in bed. The best result of treatment is that there will also be a very high rate of disability, which has brought certain impact and pressure to family members, society and the medical profession. As far as the current medical technology is concerned, there is no way to completely achieve the goal of cure. Many experts believe that the difficulties faced in the treatment of diseases are still severe, in the case of brachial plexus nerve safety injuries or incomplete brachial plexus injuries. Many medical authorities mostly use nerve transposition or relaxation to treat transplantation. Choosing the correct treatment plan and recovering the function of the affected limb to the maximum extent, this puts forward higher requirements for the early accurate localization and qualitative diagnosis of the injured nerve. High-frequency ultrasound should be performed before operation to judge the continuity of nerve structure. However, in the process of judgment, there is a certain degree of influence on both, the accuracy is not very obvious, there are some limitations. The clinical application of combined diagnosis can significantly improve the sensitivity and accuracy of brachial plexus disease detection and reduce misdiagnosis and missed diagnosis. It can provide more accurate and reliable reference basis for clinical treatment plan confirmation. For brachial plexus injury or incomplete injury of the diseased nerve, most of the time before the operation, he performed high frequency ultrasound examination. In the process of inspection, the main manifestation is the continuous interruption of damaged nerve and meridian strong echo or the appearance of complete interruption, which shows the phenomenon of sound or silence. The linear echo is blurred, and the results of ultrasonic exploration and actual observation are obvious. From these conclusions, we can see that his sensitivity, specificity and accuracy are 7775 and 777777, respectively. High frequency ultrasound can play a good role and help, can distinguish the brachial plexus nerve from the surrounding tissue, the brachial plexus nerve injury place of re-diagnosis, treatment and postoperative reference role.
【学位授予单位】：长春中医药大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R688
本文编号：2260660
[Abstract]:In recent years, the number of patients with brachial plexus injury caused by trauma is increasing gradually. In recent years, brachial plexus injury patients are very common in bed. The best result of treatment is that there will also be a very high rate of disability, which has brought certain impact and pressure to family members, society and the medical profession. As far as the current medical technology is concerned, there is no way to completely achieve the goal of cure. Many experts believe that the difficulties faced in the treatment of diseases are still severe, in the case of brachial plexus nerve safety injuries or incomplete brachial plexus injuries. Many medical authorities mostly use nerve transposition or relaxation to treat transplantation. Choosing the correct treatment plan and recovering the function of the affected limb to the maximum extent, this puts forward higher requirements for the early accurate localization and qualitative diagnosis of the injured nerve. High-frequency ultrasound should be performed before operation to judge the continuity of nerve structure. However, in the process of judgment, there is a certain degree of influence on both, the accuracy is not very obvious, there are some limitations. The clinical application of combined diagnosis can significantly improve the sensitivity and accuracy of brachial plexus disease detection and reduce misdiagnosis and missed diagnosis. It can provide more accurate and reliable reference basis for clinical treatment plan confirmation. For brachial plexus injury or incomplete injury of the diseased nerve, most of the time before the operation, he performed high frequency ultrasound examination. In the process of inspection, the main manifestation is the continuous interruption of damaged nerve and meridian strong echo or the appearance of complete interruption, which shows the phenomenon of sound or silence. The linear echo is blurred, and the results of ultrasonic exploration and actual observation are obvious. From these conclusions, we can see that his sensitivity, specificity and accuracy are 7775 and 777777, respectively. High frequency ultrasound can play a good role and help, can distinguish the brachial plexus nerve from the surrounding tissue, the brachial plexus nerve injury place of re-diagnosis, treatment and postoperative reference role.
【学位授予单位】：长春中医药大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R688
【参考文献】
相关期刊论文 前1条
1 牟戎;王业贵;;超声定位在肥胖患者肌间沟臂丛神经阻滞的应用[J];上海医学;2011年08期
，本文编号：2260660
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