当前位置： SCI文献检索 > ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION期刊下所有文献 > Comparison of ultrasonographic renal excursion to fluoroscopic diaphragmatic excursion for the assessment of diaphragmatic function in patients with high cervical cord injury.

Comparison of ultrasonographic renal excursion to fluoroscopic diaphragmatic excursion for the assessment of diaphragmatic function in patients with high cervical cord injury.

Abstract：

OBJECTIVE:To compare the renal excursion detected by ultrasonography with the diaphragmatic excursion recorded by fluoroscopy in estimating the diaphragmatic function in patients with high cervical cord injury. DESIGN:Prospective, blinded comparative study. SETTING:A rehabilitation hospital affiliated with a medical university. PARTICIPANTS:Fifteen consecutively admitted patients with high cervical cord injury. INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:Chest radiographs, fluoroscopy of diaphragmatic motion, and ultrasonography of renal motion. RESULT:Of the 15 patients, 2 were diagnosed with hemidiaphragm paralysis using fluoroscopy and renal ultrasonography. The average diaphragmatic excursion was 59 mm (range, 30-83 mm) in 28 nonparalyzed hemidiaphragms. The average renal excursion was 49 mm (range, 28-61 mm). The correlation coefficient for fluoroscopic hemidiaphragm excursion and ultrasonographic renal excursion was .853. CONCLUSION:Ultrasonographic renal excursion and fluoroscopic diaphragmatic excursion correlated highly. With the fluoroscopy results as the criterion standard, the diagnostic sensitivity and specificity were both 100% for renal sonography. With the advantages of convenience of use, no radiation exposure, and high reproducibility, renal ultrasonography is recommended as a first-line screening and long-term follow-up tool for assessment of diaphragmatic function.

journal_name

Arch Phys Med Rehabil

journal_title

Archives of physical medicine and rehabilitation

authors

Bih LI,Wu YT,Tsai SJ,Tseng FF,Lin CY,Ding H

doi

10.1016/s0003-9993(03)00428-3

subject

Has Abstract

pub_date

2004-01-01 00:00:00

pages

65-9

issue

1

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(03)00428-3

journal_volume

85

pub_type

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