髂腰肌滑囊扩张的超声影像学特征分析  

Ultrasonographic features of dilated bursa of the iliopsoas muscle

作　　者：吴志华[1] 彭亮[1] 舒华宝 吴晓敏 范颖升 席贵阳 徐圣 吴红平 朱东升[1] WU Zhi-hua;PENG Liang;SHU Hua-bao;WU Xiao-min;FAN Ying-sheng;XI Gui-yang;XU Sheng;WU Hong-ping;ZHU Dong-sheng(Department of Ultrasound,the 184th Hospital of PLA,Yingtan 335000,Jiangxi,China)

机构地区：[1]解放军第一八四医院特诊科,鹰潭335000

出　　处：《东南国防医药》2018年第5期515-518,共4页Military Medical Journal of Southeast China

摘　　要：目的分析髂腰肌滑囊扩张的临床和超声影像学特征,探讨高频超声诊断髂腰肌滑囊扩张的临床价值。方法回顾性分析解放军第一八四医院45例经关节镜、穿刺活检以及临床证实的髂腰肌滑囊扩张患者(扩张组),随机抽取62例髋部不适未合并髂腰肌滑囊扩张的患者作为对照组,分析2组患者临床资料并行统计学分析,总结髂腰肌滑囊的临床和超声影像学特征。结果扩张组累及单、双侧分别为41例、4例,合并髋关节病变35例;对照组累及单、双侧分别为47例、15例,合并髋关节病变33例;组间比较的差异有统计学意义(P<0. 05)。扩张组超声确诊38例,误诊4例,漏诊3例,诊断符合率约84.4%。髂腰肌滑囊扩张的主要超声影像学特征为髋关节囊前方和髂腰肌腱(腹)间大小不等、形态各异的单房或多房囊性包块,向上可达髂腰肌腹,向下可达小转子,包块增大时可压迫股静脉。结论髂腰肌滑囊扩张大多单侧发病,常合并髋关节病变,具有典型超声影像学特征,高频超声可明确诊断。Objective To analyze the clinical and ultrasonographic features of dilated bursa of the iliopsoas muscle, and to investigate the clinical value of high-frequency ultrasound in the diagnosis of dilated bursa of the iliopsoas muscle. Methods Forty-five patients with dilated bursa of the iliopsoas muscle confirmed by arthroscopic surgery, needle biopsy and clinical pathology were selected as dilatation group. Additionally, 62 patients with hit pain accompanied by no dilated bursa of the iliopsoas muscle were randomly selected as control group. Clinical data of the 2 groups were retrospectively and statistically analyzed. The clinical and ultrasonographic features of dilated bursa of the iliopsoas muscle were summarized. Results In the dilatation group, there were 41 patients with unilateral involvement, 4 patients with bilateral involvement, and 35 patients with combined hip joint lesions. In the control group, there were 47 patients with unilateral involvement, 15 patients with bilateral involvement, and 33 patients with combined hip joint lesions. Single/bilateral dilatation and combination with other lesions in the hip joint showed statistical significance between the two groups （ P 〈0.05）, while gender and age shown non-statistical significance （ P 〉0.05）. In the dilatation group, 38 cases was comfirmed by ultrasound diagnose. Four cases was missed diagnosis, and 3 cases was misdiagnosed by ultrasound. The diagnostic coincidence rate of ultrasound was 84.4%. Main ultrasonographic features of dilated bursa of the iliopsoas muscle were mono or multilocular cystic mass with different sizes and shapes in anterior capsule of the hip joint and between tendons （bellies） of the iliopsoas muscle, upwards to the iliocsoas belly and downwards to the lesser trochanter. The femoral vein can be compressed when the mass was enlarged. Conclusion Dilated bursa of the iliopsoas muscle occurs mostly at single side in adults, and is always combined with ipsilateral lesions in the hip joint, characterized by t

关 键 词：髂腰肌滑囊 髋关节 滑膜囊肿 高频超声 

分 类 号：R693[医药卫生—泌尿科学] R455.1[医药卫生—外科学]