隐性腕背腱鞘囊肿的超声诊断  

Value of ultrasonography in diagnosing the occult dorsal carpal ganglion

作　　者：高岩[1] 陈涛[1] 

机构地区：[1]积水潭医院超声诊断科,北京110035

出　　处：《中华超声影像学杂志》2008年第7期621-623,共3页Chinese Journal of Ultrasonography

摘　　要：目的探讨隐性腕背腱鞘囊肿的超声特性，评价超声检查隐性腕背腱鞘囊肿的应用价值。方法对16例慢性腕背疼痛患者行超声检查，其中11例患者采用手术治疗，将超声图像与手术结果进行分析，术后随访1～8个月。结果隐性腕背腱鞘囊肿的超声特性为：①腕背舟骨、月骨骨皮质连续未见明破坏；②腕背舟月间隙附近可见-卵圆形的无回声区，边界尚清晰，囊壁尚光滑，伴侧方声影及后方回声增强，③彩色多普勒血流显像示病灶内部及周边均未见明显血流信号。结论超声检查对于隐性腕背腱鞘囊肿的定性和定位有重要意义，可作为慢性腕关节背侧疼痛患者X线检查后首选检查方法。Objective To evaluate the value of uhrasonography in diagnosing the occult dorsal carpal ganglion. Methods Sixteen patients with chronic dorsal wrist pain received ultrasound examination. Eleven of them were treated with surgical therapy. And they were followed up for 1-8 months. Results The ultrasound characteristics of occult dorsal carpal ganglion were depicted as follows：①The dorsal cortical bone of scaphoid and lunate was continued and without damage. ②An oval anecho lesion with clear boundany, smooth ganglion wall, lateral shandowing and posterior enhancement could be detected in the dorsal part of scapholunate joint. （~）Color Doppler flow imaging showed there was not obvious blood flow signals inside and around the ganglion. Conclusions Uhrasonography could be acted as a routine examination technique after the X ray examintion in the diagnosis of the the occult dorsal carpal ganglion.

关 键 词：超声检查 腕关节 腱鞘囊肿 

分 类 号：R686[医药卫生—骨科学]