METHOD FOR CARRYING OUT ULTRASONIC MEDIAN AND ULNAR NERVE RUPTURE DIAGNOSTICS AT FOREARM LEVEL AND CONTROLLING THEIR RECOVERY AFTER SUTURING

摘要

FIELD: medicine.;SUBSTANCE: method involves measuring uniform ampoule-like enlargement area of nerve trunk smoothly transforming itself into hypoechogenic formation with smooth distinct outline of no longitudinal striation echo-structure in longitudinal projection and enlarged rounded hypoechogenic region with changed echo-structure without granularity in transverse projection observed in visualizing the nerve trunk enlargement in transverse scanning mode. Area of zone proximally located 3-4 cm far from lesion region. Asymmetry coefficient is determined as ratio of the values. The coefficient value being greater than 2.4, terminal neuroma is diagnosed witnessing complete nerve rupture. When visualizing the single side nerve boundary enlargement in both projections with hypoechogenic zone of disturbed echogenicity structure and retained nerve segment unchanged at this level under asymmetry coefficient value being less than 2.4, lateral neuroma is diagnosed to be the case witnessing partial nerve rupture. When finding zone of linear striation echo-structure in longitudinal scanning mode and showing echo-structure granularity in transverse scanning mode not greater than 1.7 times proximal zone area 2-6 months later after the operation, fascicle nerve structure recovery in suture vicinity is considered to take place. Ampoule-like enlarged, hypoechogenic formation having partially disturbed inhomogeneous heterogeneous structure 1.7 times greater than proximal zone area being found within this period, intensive nerve trunk connective tissue elements proliferation and intratrunk neuroma is proved to be the case.;EFFECT: high accuracy in determining nerve injury degree; enhanced effectiveness in controlling postoperative nerve fiber recovery.;2 cl, 3 dwg