肩胛舌骨肌综合征的超声诊断价值  

The Value of Ultrasoundin Diagnosis of Omohyoid Muscle Syndrome

作　　者：金永红[1] 左冬梅[1] 张军 Jin Yonghong;Zuo Dongmei;Zhang Jun(Department of Ultrasound,Anqing Affiliated Hospital of AnhuiMedicalUniversity,Anqing,Anhui 246003,China)

机构地区：[1]安徽医科大学附属安庆医院超声科,安徽省安庆市246003

出　　处：《中国超声医学杂志》2018年第9期844-848,共5页Chinese Journal of Ultrasound in Medicine

摘　　要：目的探讨高频超声对肩胛舌骨肌综合征的诊断价值。方法对9例主诉吞咽时颈部出现包块的患者行高频超声检查,观察有无颈部肿块,未发现肿块时,测量平静状态及吞咽时肩胛舌骨肌厚度有无变化,并观察吞咽时其前方胸锁乳突肌是否有向前被动抬起的征象。结果 9例患者声像图均表现为患侧肩胛舌骨肌较健侧增厚,吞咽时增厚明显。与健侧相比,在平静状态及吞咽时患侧肩胛舌骨肌上腹、中间腱的厚度大于健侧,其差异具有统计学意义(P<0.05)。9例患者超声均诊断为肩胛舌骨肌综合征。结论高频超声可成为肩胛舌骨肌综合征诊断的首选检查方法。Objective To evaluate the value of high-frequency ultrasound（US）in the diagnosis of omohyoid muscle syndrome（OMS）.Methods High frequency ultrasound examination was performed in 9 patients who complained of neck mass when swallowing,to observe whether there were cervical mass,when no cervical mass was found,to measure whether there was a change of the thickness of the omohyoid muscle during tranquility and during swallowing,and observe whether the anterior sternocleidomastoid muscle has a forward passive lifting during swallowing.Results The ultrasonic features were that the thickness of the affected side of the omohyoid muscle superior belly and intermediate tendon was thicker than the healthy side,especially during swallowing.Compared with the healthy side,the thickness of the superior belly and intermediate tendon of the affected side of the omohyoid muscle were thicker in tranquility and during swallowing,and the difference was statistically significant（P〈0.05）.The 9 patients were diagnosed with omohyoid muscle syndrome.Conclusions High frequency ultrasound can be the first choice for the diagnosis of omohyoid muscle syndrome.

关 键 词：超声 肩胛舌骨肌综合征 颈部包块 

分 类 号：R445.1[医药卫生—影像医学与核医学] R653[医药卫生—诊断学]