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首页> 外文期刊>Journal of Clinical Ultrasound: JCU >Sonographic evaluation of peripheral nerve injuries following the Wenchuan earthquake.
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Sonographic evaluation of peripheral nerve injuries following the Wenchuan earthquake.

机译：汶川地震后周围神经损伤的超声检查评估。

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摘要

PURPOSE: To analyze retrospectively the sonographic characteristics of the peripheral nerve injuries (PNIs) resulted from Wunchuan earthquake. METHODS: The sonographic images of 38 patients with surgically proved PNIs were reviewed and compared with the surgical findings. RESULTS: A total of 78 nerves in 38 patients were found injured in surgery, which included 16 median nerves in the forearm (20.5%), 6 ulnar nerves in the forearm or arm (7.7%), 8 radial nerves in upper limb (10.0%), 8 sciatic nerves (10.3%) in gluteal region, 17 tibial nerves in the leg (21.8%), and 23 peroneal nerves (29.5%). The most common injured nerve in the lower extremity was the peroneal nerve (29.5%) and in upper extremity was the median nerve (20.5%). Sonography correctly diagnosed 72 earthquake-related nerve injuries (92.3%), which included 5 complete disruption (6.4%), 4 partial disruption (5.1%), 63 nerve entrapment (88.5%, included 1 entrapment by bone calus, 38 entrapments by the scar tissue, 13 entrapments by the thickened muscle or tendinous arch, and 11 entrapment in the narrowed osteofibrous tunnels). CONCLUSIONS: Nerve entrapment injury was the common sonographic finding in earthquake-related PNI.
机译：目的：回顾性分析汶川地震造成的周围神经损伤的超声特征。方法：对38例经手术证实的PNIs的超声图像进行回顾，并与手术结果进行比较。结果：38例患者中共有78条神经在手术中受伤，其中前臂16条正中神经（20.5％），前臂或臂中尺神经6条（7.7％），上肢8神经8条（10.0） ％），臀区域的坐骨神经8条（10.3％），腿部胫骨神经17条（21.8％）和腓骨23条神经（29.5％）。下肢最常见的受伤神经是腓神经（29.5％），而上肢最常见的损伤神经是正中神经（20.5％）。超声检查可正确诊断72例与地震有关的神经损伤（92.3％），其中包括5例完全破坏（6.4％），4例部分破坏（5.1％），63例神经卡压（88.5％，包括1例因颅骨卡压，38例因颅骨卡压疤痕组织，增厚的肌肉或腱弓形成的13个陷穴以及狭窄的骨纤维通道中的11个陷穴）。结论：神经夹带损伤是与地震有关的PNI的常见超声检查结果。

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