超声联合电生理检查在胫与腓总神经损伤诊断中的应用

摘要

Objective Investigate the value of ultrasound combine electrophysiology in the diagnosis of the tibia and peroneus nerve injury.Methods In total 32 clinical confirmed patients with the tibia and peroneus nerve injury from were enrolled in this study (including 16 tibia nerve injury and 16 peroneus nerve injury respectively),referred to orthopedic department in our hospital.Ultrasound and electrophysiological examination were arranged before surgical treatment,intraoperative neural performance were recorded for comparison.The diagnosis accuracy of ultrasonography,electrophysiological examination and examination combined of ultrasound and electrophysiology were assessed in the diagnosis of the tibia,Recife total value of nerve injury.Results With intraoperative nerve performance comparison,diagnosis accuracy of ultrasound was 87.50％,electrophysiological examination was 90.64％,combined examination was 96.88 ％.The Kappa coefficient was 0.948 (P＜0.01) in the combined examination of ultrasound and electrophysiology.In nerve lesions location,both accuracy of ultrasound and electrophysiology was 93.75 ％,and combined examination was 100.00％.Conclusions Ultrasound combined electrophysiological examination could become a useful supplement to each other in the diagnosis of leg,the tibia and peroneus nerve injury,which could provide more detailed diagnostic information for clinical diagnosis and treatment,can improve the accuracy of tibia and peroneus nerve injury,it is worthy of popularization and Application.%目的 探讨超声联合电生理检查在诊断胫、腓总神经损伤中的应用价值.方法 分析我院骨科收治的32例临床诊断胫、腓总神经损伤的患者(其中胫神经损伤和腓总神经损伤各16例),术前分别行超声及电生理检查,以术中结果为对照,评价超声联合电生理检查的准确率.结果 以手术结果为对照,超声、电生理、两者联合检查的诊断准确率分别为:87.50％、90.64％、96.88％;联合检查法与术中结果的Kappa系数为0.948 (P＜0.01).神经损伤定位的准确率:超声和电生理均为93.75％、联合法为100.00％.结论 超声联合电生理检查对于胫、腓总神经损伤可以互相补充,为临床诊疗提供更加详细的诊断信息,能够提高胫、腓总神经损伤的准确率,值得推广应用.