肌骨超声对肩痛患者的影像学研究  

Imaging Study of Musculoskeletal Ultrasound in Patients with Shoulder Pain

作　　者：周强[1] ZHOU Qiang(Ultrasound Diagnosis of Changzhou Traditional Chinese Medicine Hospital,Changzhou,Jiangsu Province,213000 China)

机构地区：[1]江苏省常州市中医医院超声诊断

出　　处：《中外医疗》2019年第30期190-192,共3页China & Foreign Medical Treatment

摘　　要：目的探讨对肩痛患者实施肌骨超声检测后获得的临床效果。方法方便选择该院2018年4月—2019年3月收治的50例肩痛患者作为实验对象;依据年龄的不同进行分组,分别设为A1组(青年组≤44岁11例)、A2组(中年组45~59岁22例)以及A3组(老年组≥60岁17例);针对所有患者临床均选择肌骨超声方法完成疾病诊断,就诊断结果展开统计分析。结果所有肩痛患者疾病中,喙突下滑囊炎、肱二头肌长头肌腱炎、肩锁关节退行性变、肩胛下肌肌腱病变、肩峰下滑膜炎、肩峰下撞击征阳性、冈下肌以及小圆肌肌腱病变、冈上肌肌腱病变患者、粘连性肩关节囊炎在A1组的发生率分别为16.67%、8.33%、8.33%、25.00%、75.00%、25.00%、8.33%、33.33%、8.33%,A2组的发生率分别为34.62%、27.27%、40.91%、31.82%、72.73%、45.45%、4.55%、72.73%、18.18%,A3组发生率分别为30.00%、25.00%、40.00%、25.00%、65.00%、30.00%、10.00%、70.00%、25.00%。A2组以及A3组肩痛患者肩锁关节退行性变发病率以及冈上肌腱病变发生率均高于A1组明显(P<0.05)。结论肩痛患者于临床接受肌骨超声诊断,对于疾病类型可以有效明确,并且不同年龄患者在部分疾病患病率方面存在差异,从而可为肩痛患者早期确诊以及对症治疗奠定基础。Objective To investigate the clinical effects of musculoskeletal ultrasound in patients with shoulder pain.Methods 50 patients with shoulder pain admitted to our hospital from April 2018 to March 2019 were convenient selected as experimental subjects.Grouped according to age,they were divided into A1 group(young group≤44 years old 11 cases),A2 group(middle age group,45 years old to 59 years old;22 cases)and the A3 group(old age group≥60 years old and 17 cases);for all patients,the musculoskeletal ultrasound method was selected to complete the disease diagnosis,and the diagnosis results were statistically analyzed.Results All patients with shoulder pain,sacral bursitis,biceps femoris tendinitis,acromioclavicular degenerative changes,subscapularis tendonopathy,acromial uveal inflammation,subacromial impingement positive,the incidence of lower muscle and small round muscle tendon lesions,supraspinatus tendon lesions,and adhesive shoulder capsule inflammation in the A1 group were 16.67%,8.33%,8.33%,25.00%,75.00%,25.00%,and 8.33%,33.33%,8.33%,the incidence rate of A2 group was 34.62%,27.27%,40.91%,31.82%,72.73%,45.45%,4.55%,72.73%,18.18%,and the incidence rate of A3 group was 30.00%,25.00%,40.00%,25.00%,65.00%,30.00%,10.00%,70.00%,25.00%.The incidence of acromioclavicular degeneration and the incidence of supraspinatus tendon lesions in A2 group and A3 group were significantly higher than those in A1 group(P<0.05).Conclusion The diagnosis of musculoskeletal ultrasound in patients with shoulder pain can be effective and clear for the type of disease,and there are differences in the prevalence of some diseases among patients of different ages,which can lay a foundation for early diagnosis and symptomatic treatment of patients with shoulder pain.

关 键 词：肌骨超声 肩痛 影像学研究 

分 类 号：R445.1[医药卫生—影像医学与核医学] R684[医药卫生—诊断学]