肩袖撕裂术后康复治疗中的高频超声评价分析  

Value of high frequency ultrasound in the postoperative rehabilitation treatment of rotator cuff tear

作　　者：史淼[1] 张改英[1] 辛兆芹[1] 滕建波[2] 

机构地区：[1]山东省聊城市人民医院超声科,252000 [2]山东省医学影像学研究所超声科

出　　处：《中华超声影像学杂志》2012年第5期432-434,共3页Chinese Journal of Ultrasonography

摘　　要：目的探讨高频超声在肩袖撕裂术后康复治疗中的应用价值。方法对临床疑诊肩袖损伤的87例患者进行超声检查，对肩袖部分及完全撕裂的54例患者进行手术治疗，术后患者中对照组27例（进行自主功能锻炼），康复组27例（进行正规的康复训练），两组患者于术后2周、4周、8周、12周和16周进行临床功能评分及超声评分，评价康复治疗效果，1年后进行临床疗效评定。结果患者在肩袖撕裂术后不同时期的临床症状与超声表现相符。临床功能及超声评分术后2周、4周时两组间差异无统计学意义（P〉0．05），术后8周、12周、16周时康复组明显优于对照组（P〈0．05或P〈0．01）。康复组1年后的疗效评定结果优于对照组（P〈0．01）。结论高频超声在肩袖撕裂术后的康复治疗中有较高的应用价值。Objective To evaluate the value of high frequency ultrasound in the postoperative rehabilitation treatment of rotator cuff tear. Methods Eighty-seven patients suspected as rotator cuff tear were detected by ultrasound. Fifty-four patients suffered from part or entire tear were gone under the knife. Twenty-seven patients were control group with the autonomic functional training, the other twenty-seven patients were rehabilitation group with the regular rehabilitation training. Clinical functional and ultrasound scoring were performed through the two groups to evaluate the effects of rehabilitation treatment. Efficacy evaluation assessments were taken one year after operation. Results The clinical symptoms were consistent with the ultrasonographic results in different time after operation. The clinical functional and ultrasound scores in rehabilitation group had no statistical difference with control group when 2 and 4 weeks after operation （P 〉 0. 05）, the clinical functional and ultrasound scores in rehabilitation group were better than control group when 8,12 and 16 weeks after operation（ P 〈0.05 or P 〈0.01）. The efficacy evaluation assessments in rehabilitation group were much better than control group （ P 〈0. 01 ）. Conclusions High frequency ultrasound has great significance in the postoperative rehabilitation treatment of rotator cuff tear.

关 键 词：超声检查 回旋套 撕裂伤 康复 

分 类 号：R445.1[医药卫生—影像医学与核医学]