卡压性神经损害的另类发现

发布时间：2018-10-14 15:03

【摘要】：目的观察上肢神经卡压患者的神经超声图像特征,明确卡压神经除受压处损害外是否有其他部位的合并性损害,研究卡压神经合并性损害与性别及卡压点横截面积(CSA)的关系。方法回顾性总结2013年10月-2015年10月在贵州医科大学附属医院神经科确诊为腕管综合征(CTS)、肘管综合征(Cub TS)患者(49例)的高频超声图像资料。将卡压神经分为CTS伴CSA增粗组、CTS伴CSA正常组、Cub TS伴CSA增粗组和Cub TS伴CSA正常组,统计各组卡压神经合并性损害的情况,分析各组出现合并性损害与性别及卡压点CSA的关系。结果 79条卡压神经中有48条合并该神经其他部位损害。CTS伴CSA增粗组中有合并性损害与无合并性损害的神经卡压点CSA比较,差异有统计学意义(P0.05);CTS是否同时伴有CSA增粗,其性别间比较,差异有统计学意义(P0.05)。结论卡压性神经损害除卡压点外,可能涉及神经其他部位,CTS出现合并性损害可能与卡压点神经增粗程度有关。神经有卡压不一定有卡压点神经肿胀,性别可能是影响神经卡压后是否出现卡压点神经肿胀的一个因素。高频超声对神经卡压的有重要诊断意义,对其早期诊断有潜在价值。
[Abstract]:Objective to observe the characteristics of nerve ultrasound images in patients with nerve compression of upper limb, to determine whether there are combined lesions in other parts of the compressed nerve, and to study the relationship between the combined damage of compression nerve and sex and cross sectional area of compression spot (CSA). Methods from October 2013 to October 2015, 49 patients (49 cases) with carpal tunnel syndrome (CTS),) and cubital tunnel syndrome (Cub TS) diagnosed in the Department of Neurology, affiliated Hospital of Guizhou Medical University, were retrospectively analyzed. The compressed nerves were divided into CTS with CSA thickening group, CTS with CSA normal group, Cub TS with CSA thickening group and Cub TS with CSA normal group. Results 48 of 79 compressed nerves were associated with other lesions of the nerve. There was a significant difference in CSA between the CTS with CSA thickening group and the nerve compression point CSA without combined lesion (P0.05); CTS or not accompanied by CSA thickening at the same time). The difference was statistically significant (P0.05). Conclusion the nerve damage caused by compression may involve other parts of the nerve except the compression point. The occurrence of combined damage in CTS may be related to the degree of nerve thickening at the point of compression. Nerve entrapment does not necessarily have compression point nerve swelling, sex may be one of the factors that affect the nerve swelling after nerve compression. High frequency ultrasound has important diagnostic significance for nerve compression, and has potential value for early diagnosis.
【作者单位】：贵州医科大学附属医院内科ICU;贵州医科大学附属医院神经内科;
【基金】：贵州省科技合作计划项目[No:黔科合LH字(2015)7407]
【分类号】：R688

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