高频超声对肩关节病变的诊断及其疗效评估  

Application of High-frequency Ultrasonography in the Diagnosis of Shoulder Joint Disease and Therapeutic Effect Evaluation

作　　者：于慧敏[1] 朱梅[1] 李彦林[1] 栾玉民[1] 

机构地区：[1]昆明医学院第一附属医院超声科,云南昆明650032

出　　处：《昆明医学院学报》2012年第3期41-45,共5页Journal of Kunming Medical College

基　　金：国家自然科学基金资助项目(81160178)

摘　　要：目的探讨高频超声对肩关节病变的诊断及在疗效评估中的应用价值.方法应用高频超声对43例肩关节疼痛患者43个肩关节扫查,观察肱二头肌长头腱、冈上肌肌腱、冈下肌肌腱、肩胛下肌肌腱、盂肱关节、肩锁关节、滑囊的情况,并对最大积液深度、肌腱厚度进行治疗前后对比.结果 43例患者其中肱二头肌长头腱病变39例占90.7%,冈上肌肌腱19例占44.2%,冈下肌肌腱14例32.6%,滑囊10例占23.3%,盂肱关节9例占20.9%,肩胛下肌肌腱9例占20.9%,肩锁关节7例占16.3%.治疗前后超声检查在积液最大深度与肌腱厚度上比较,差异有统计学意义(P<0.05).结论高频超声可以观察肌腱、关节,同时可以进行疗效评估.Objective To discuss the application value of high-frequency ultrasonography in the diagnosis of shoulder joint disease and therapeutic effect evaluation.Methods 43 patients with painful shoulders were examined with high-frequency ultrasonography for testing the long head of the biceps tendon,the supraspinatus tendon,infraspinatus tendon,subscapularis tendon,acromoclavicular joint,glenohumeral joint and bursa,the biggest effusion depth and tendon thickness were compared between before and after treatment.Results In 43 patients with painful shoulders,39 cases 90.7% were found with disease in the long head of the biceps tendon,19 cases 44.2% with disease in the supraspinatus tendon,14 cases 32.6% with disease in the infraspinatus tendon,10 cases 23.3% with disease in bursa,9 cases 20.9% with disease in glenohumeral joint,9 cases 20.9% with disease in subscapularis tendon,and 7 cases 16.3% with disease in acromoclavicular joint.The difference in the effusion maximum depth and tendons thickness between before and after treatment showed statistically significant(P<0.05).Conclusion High-frequency ultrasonography could diagnose the disease of tendons,joints and could evaluate the therapeutic effect.

关 键 词：高频超声 肩关节 关节炎 

分 类 号：R44[医药卫生—诊断学]