用超声波诊断肘部部神经病变 - 与电生理学研究的比较
Thomas John Carroll1, Alexander Chirokikh1, Julie Thon1
1University of Rochester Department of Orthopaedic Surgery, University of Rochester School, Rochester, NY.
The Journal of hand surgery
|October 25, 2023
概括
超声波 (美国) 是诊断肘部神经病变 (UNE) 的一个有价值的工具,其检测率高于电诊断研究 (EDX). 美国可以识别早期的UNE,在临床实践中补充EDX.
科学领域:
- 神经学 神经学
- 诊断成像 诊断成像 诊断成像
- 神经传导研究 神经传导研究
背景情况:
- 肘部神经病变 (UNE) 诊断可能是具有挑战性的,因为电子诊断研究 (EDX) 的错误负率很高.
- 需要客观的诊断方法来准确检测和评估UNE的严重程度.
研究的目的:
- 评估超声波 (US) 作为检测UNE的另一个客观测试.
- 确定US,EDX发现和临床症状上的腰椎神经截面面积 (CSA) 之间的关系.
主要方法:
- 追溯分析89名患有UNE症状的患者.
- 使用临床诊断作为参考标准,比较EDX和US之间的性能特征.
- 在美国,最大腰椎神经CSA与EDX严重程度和临床表现的相关性.
主要成果:
- 超声波检测到UNE在94.8%的临床诊断病例中,而EDX的91.3%是UNE.
- 美国的最大CSA与EDX确定的UNE严重程度有很强的相关性.
- 阳性US但阴性EDX的患者表现出类似或更高的感觉损失和肘部疼痛率.
结论:
- 超声波是UNE可靠的替代或补充诊断工具,与EDX相当或超过EDX.
- 美国可以有效地检测阴茎道综合征,并可以识别EDX错过的早期UNE.
- 将US纳入临床实践可以改善UNE的诊断和管理.
相关概念视频
Ultrasound II: Endoscopic Ultrasound and FibroScan
117
Endoscopic Ultrasound (EUS) and FibroScan are valuable diagnostic tools in gastroenterology and hepatology, each with specific applications and techniques.
Endoscopic Ultrasound (EUS):
Endoscopic Ultrasound (EUS):
117
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
14
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
14
Spinal Nerves: Plexus I
985
Nerve plexuses are networks of interlacing nerves that serve as communication hubs to distribute and organize nerve action across various body regions. The nerve plexuses are organized into the cervical plexus located in the neck region, brachial plexus in the shoulder area, lumbar plexus found in the lower back, sacral plexus situated in the pelvis, and coccygeal plexus located in the coccygeal region.
The Cervical Plexus
The cervical plexus, formed by the anterior rami of the first four...
The Cervical Plexus
The cervical plexus, formed by the anterior rami of the first four...
985
Assessing Blood pressure using a doppler ultrasound
1.4K
To obtain accurate blood pressure measurements in clinical settings, especially when traditional methods are insufficient, healthcare professionals utilize the Doppler ultrasound technique. This method uses high-frequency sound waves to detect blood flow within the arteries, which is crucial for patients with conditions that complicate circulatory system assessment.
Pre-Procedural Guidelines for Doppler Ultrasound Blood Pressure Assessment:
Preparation of Equipment:
Pre-Procedural Guidelines for Doppler Ultrasound Blood Pressure Assessment:
Preparation of Equipment:
1.4K


