發(fā)布時間：2018-10-09 20:24

【摘要】：就近年來由于外傷造成的臂叢神經(jīng)損傷患者的人數(shù)呈逐漸上升趨勢,近年來臂叢神經(jīng)損傷患者臨在床中十分常見,對于該病的患者在治療的過程中是比較困難的,預后較差,對于治療的最好結果也是會有很高的致殘率,給家人和社會還有醫(yī)學界都帶來了一定的沖擊和壓力,就目前的醫(yī)療技術手段來說,沒有辦法完全的達到治愈的目的,很多的專家認為對于治療疾病的辦法面臨的困難還是比較嚴峻的,對于臂叢神經(jīng)安全的損傷或者是臂叢神經(jīng)的不完全損傷中,很多的醫(yī)學院的權威人物大多數(shù)的時候是采用神經(jīng)移位術或者是神經(jīng)松懈的方法來對移植的方法進行治療。選擇正確的治療方案,最大程度的恢復患肢功能,這就對損傷神經(jīng)的早期精確定位、定性診斷提出了更高的要求。在手術之前應該對受損的部位進行高頻超聲檢查,對于神經(jīng)結構的連續(xù)性進行判斷。但是,在判斷的過程中對于二者都是存在著一定程度的影響,準確性并不是十分的明顯,都存在著一定的局限性。聯(lián)合診斷的臨床應用能夠明顯提高臂叢神經(jīng)病變檢測的敏感度和準確率,減少誤診和漏診現(xiàn)象,比單一檢測手段診斷具有更加顯著的優(yōu)勢,能為臨床治療方案確認提供更加準確可靠的參考依據(jù)。對于臂叢神經(jīng)的損傷或者是病神經(jīng)不完全的損傷,在手術前大多數(shù)的時候都是此阿勇了高頻超聲進行檢查,在檢查的過程中主要表現(xiàn)的就是受損神經(jīng)和神經(jīng)線性強回聲連續(xù)的的中斷或者是出現(xiàn)完全性質(zhì)的中斷,中斷現(xiàn)象表現(xiàn)出了的就是有聲或者是無聲的現(xiàn)象。線性回聲模糊,超聲的探察的結果和實際的觀察是比較明顯的,從這些結論我們可以看出,他的敏感度、特異性和準確度分別是77%、75%、77%。高頻超聲能夠起到很好的作用和幫助,可以對臂叢神經(jīng)與周圍的組織進行區(qū)分的,對臂叢神經(jīng)的損傷地方進行重新的診斷,治療以及術后提供借鑒的作用。
[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.
【學位授予單位】：長春中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2015
【分類號】：R688

【參考文獻】

相關期刊論文 前1條

1 牟戎;王業(yè)貴;;超聲定位在肥胖患者肌間溝臂叢神經(jīng)阻滯的應用[J];上海醫(yī)學;2011年08期

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本文編號：2260660