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正常肘管的高频超声检测及临床意义
High-frequency ultrasound study of the cubital tunnel: normal measurement and clinical implication

微创医学 201205期 页码:465-468

作者机构: 广西贵港市人民医院超声科

基金信息: 收稿日期: 2012-05-09

  • 中文简介
  • 英文简介
  • 参考文献

目的研究正常健康人肘管内部结构组织高频超声的回声表现,建立正常人肘管相关结构超声测量的参考值范围。方法对130例受试者行肘管高频超声检查。分别于伸肘位及屈肘位观察尺神经和弓状韧带的形态、大小、解剖关系及回声表现;屈肘时观察尺神经与肱骨内上髁的关系;分别测量伸肘位时弓状韧带的厚度、肘管的宽度和深度,并测量不同肘位下尺神经的横截面积。结果①高频超声能横向和纵向显示尺神经和弓状韧带。②尺神经达到或超过肱骨內上髁的顶点,本研究尺神经脱位的发生率为8.5%(11/130)。③伸肘位及屈肘位肱骨内上髁处尺神经的横截面积分别为(6.68±1.57)mm2、(5.60±1.45)mm2;弓状韧带的厚度为(1.14±0.26)mm;肘管的宽度及深度分别为(7.66±1.30)mm、(17.69±2.81)mm。结论高频超声能清楚显示肘管内尺神经及弓状韧带的形态、大小及其解剖关系,并能测量尺神经及相关结构的径线。

 

Objective To study the ultrasonic appearances of the internal structures of normal cubital tunnel with high-resolution ultrasonography in order to establish the normal reference ranges of ultrasonic measurement of normal cubital tunnel. Methods High-frequency ultrasonography examinations were performed on 260 normal cubital tunnels of 130 cases,focusing on the ultrasonic appearance,shape,size and anatomic relationship of the ulnar nerve and the arcuate ligament when the elbow were extending or flexing. With the elbow flexing,the relationship between ulnar nerve and the medial epicondyle were observed,with the elbow extending,cross section areas of ulnar nerve,thickness of arcuate ligament,width and height of the cubital tunnel were measured. Cross section area of different elbow movement were measured too. Results 1. High-frequency ultrasound can clearly depicted the ulnar nerve and the arcuate ligament on both transverse and sagittal planes. 2. Incidence rate of ulnar nerve dislocation was 8. 7% ( 11 /130 ) . 3. Cross section areas of ulnar nerve at the point of humeral epicondyle was 6. 68 ± 1. 57mm2 when the elbow was extension,and 5. 60 ± 1. 45mm2 when the elbow was flexion. The thickness of the arcuate ligament was 1. 14 ± 0. 26 mm,the width and the height of the cubital tunnel was 7. 66 ± 1. 30mm and 17. 69 ± 2. 81mm, respectively. Conclusions High-frequency ultrasonography depicts clearly the configuration,dimension and anatomical relationship of the ulnar nerve and arcuate ligament of the cubital tunnel,and can enable accurate measurement of these structures.
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