高频超声影像学诊断坐骨神经慢性卡压损伤的应用价值分析

doi:10.3969/j.issn.1006-6233.2018.12.026

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摘要 目的: 研究分析高频超声影像学诊断坐骨神经慢性卡压损伤的应用价值分析。方法: 选择2016年2月至2017年12月于我院就诊是疑似坐骨神经慢性卡压损伤的60例患者为研究对象,其中经影像学及手术联合检测查证实为坐骨神经慢性卡压损伤的30例为观察组,非坐骨神经慢性卡压损伤30例为对照组。应用高频超声、肌电图对患者坐骨神经损伤情况进行检测评估。观察分析高频超声与肌电图检测在坐骨神经慢性卡压损伤中的诊断结果,并对比两种检查诊断的灵敏度及特异度。结果: 高频超声影像技术在坐骨神经慢性卡压损伤诊断中的灵敏度为93.33%,特异度为91.67%,准确度为91.67%,肌电图在在坐骨神经慢性卡压损伤诊断中的灵敏度为96.67%,特异度为93.33%,准确度为91.67%,两组诊断结果对比,差异无统计学意义(P>0.05)。结论: 高频超声影像学在坐骨神经慢性卡压损伤的诊断中具有较高的应用价值,灵敏度、特异度及准确度高,可作为坐骨神经损伤的常规检查手段。

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关键词 ：坐骨神经, 慢性卡压损伤, 高频超声

Abstract：Objective:To study and analyze the application value of high-frequency ultrasound imaging in diagnosing chronic sciatic nerve chronic compression injury. Methods: 60 cases of patients with suspected chronic sciatic nerve compression in our hospital from February 2016 to December 2017 were selected for the study. Among them, 30 cases with chronic compression injury of the sciatic nerve were confirmed as observation group by combined imaging and surgical examination, and 30 cases with chronic compression injury of non-sciatic nerve were control group. All the patients underwent high-frequency ultrasound and electromyography to assess the sciatic nerve injury. The diagnostic results of high-frequency ultrasound and electromyography in chronic compression injury of the sciatic nerve were observed and analyzed. The sensitivity and specificity of the two diagnostic tests were compared. Results:The sensitivity of high-frequency ultrasonography in the diagnosis of chronic compression injury of sciatic nerve was 93.33%, the specificity was 91.67%, the accuracy was 91.67%. The sensitivity of electromyography in diagnosis of chronic compression injury of sciatic nerve was 96.67%. The specificity was 93.33% and the accuracy was 91.67%. There was no statistically significant difference between the two groups (P>0.05). Conclusion:High-frequency ultrasound imaging has high application value in the diagnosis of chronic compression injury of sciatic nerve with high sensitivity, specificity and accuracy. It can be used as a routine examination method for sciatic nerve injury.

Key words： Sciatic nerve Chronic compression injury High frequency ultrasound

基金资助:广东省医学科学技术研究基金项目,(编号:A2017236)

引用本文:

黄丹，温伟文,李中万. 高频超声影像学诊断坐骨神经慢性卡压损伤的应用价值分析[J]. 河北医学, 2018, 24(12): 2040-2043.
HUANG Dan, et al. Analysis on Application Value of High Frequency Ultrasound Imaging in Diagnosing Chronic Compression Injury of Sciatic Nerve. HeBei Med, 2018, 24(12): 2040-2043.

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http://www.hbyxzzs.cn/CN/10.3969/j.issn.1006-6233.2018.12.026 或 http://www.hbyxzzs.cn/CN/Y2018/V24/I12/2040

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