超声对网球肘的诊断价值  

Grey-scale and Color Doppler Sonography in Patients with Tennis Elbow

作　　者：谭庆亭[1] 傅先水[1] 柳曦[1] 崔立刚[1] 赵博[1] 贾建文[1] 

机构地区：[1]北京大学第三医院超声科,北京市100191

出　　处：《中国超声医学杂志》2013年第10期924-928,共5页Chinese Journal of Ultrasound in Medicine

摘　　要：目的总结网球肘患者伸肌总腱和肱骨外上髁的声像图表现,评价超声检查对网球肘诊断的价值。方法 84例经临床诊断为网球肘患者治疗前行超声检查。通过患侧与健侧对比,灰阶声像图指标包括:伸肌总腱厚度,回声,撕裂(无回声纤维缺损区),有无钙化,肱骨外上髁骨质改变;对比观察伸肌总腱血流信号(增加,无改变)。28例随后行手术治疗。结果 7例超声未发现异常,77例患侧灰阶声像图或彩色多普勒表现异常。该病超声表现为:伸肌总腱肿胀增厚71.4%(55/77),局部回声减低53.2%(41/77),撕裂39.0%(30/77),77.9%(60/77)可探及血流信号增加。撕裂患者中,位于深层者86.7%(26/30),远大于浅层13.3%(4/30)。23例(30.0%)可见钙化,18例(23.4%)肱骨外上髁骨质有不规则改变或骨刺样隆起。超声对撕裂的范围、位置与手术记录一致。结论超声检查不仅能发现网球肘患者伸肌总腱的病变,还能评价病变的位置,范围,评估疾病的严重程度,彩色多普勒血流显像可评估是否为急性充血期。Objective To evaluate the ultrasonographic appearance of the common extensor tendon and humeral epicondyle in patients with tennis elbow. Methods Eight-four patients with clinical diagnosis of tennis elbow were en- rolled in this retrospective study. Sonographie features of common extensor tendon were recorded,including thickness, echogenicity, presence of tendon tear, calcifications, and increase of color flow. The superficial abnormality of bone cor- tex of humerus lateral epicondyle were also evaluated. Of them,28 cases went to surgery. Results The most common sonographic appearance of tennis elbow include swelling 71.4% （55/77） ,focal hypoechoic areas 53.2% （41/77） ,partial tear 39.0% （30/77） ,and increase of flow signal 77.9% （60/77）. In 30 cases who have partial tendon tear,deep fi- bers tear were much more often than those of superficial region （86.7% vs 13.3%）. Twenty-two cases showed calcification,and 18 cases showed cortical irregularity and spur formation. Color flow signal increased to varying degrees in 60 cases. Conclusions By ultrasonography,not only the abnormity of involved tendon can be confirmed in patients with clinical diagnosis of tennis elbow, the location, extent, and severity can be also accurately evaluated.

关 键 词：网球肘 伸肌总腱 超声检查 

分 类 号：R445.1[医药卫生—影像医学与核医学]