声辐射力脉冲成像技术评价斜方肌弹性的可重复性研究  

Repeatability of acoustic radiation force impulse imaging technology in evaluating the elasticity of trapezius

作　　者：王鹏飞[1] 董雁雁 陈秀 占小梅 崔晓颖 邹春鹏[1] WANG Pengfei;DONG Yanyan;CHEN Xiu;ZHAN Xiaomei;CUI Xiaoying;ZOU Chunpeng(Department of Ultrasound,the Second Affiliated Hospital/Yuying Children’s Hospital of WMU,Wenzhou,Zhejiang 325000,China)

机构地区：[1]温州医科大学附属第二医院/育英儿童医院超声影像科,浙江温州325000

出　　处：《重庆医学》2023年第6期845-848,854,共5页Chongqing medicine

基　　金：浙江省温州市科技局立项项目(Y20180763)。

摘　　要：目的评价声辐射力脉冲成像技术测量颈肩部疼痛患者斜方肌弹性值的可重复性。方法选取2019年4月至2020年8月该院超声科门诊接受斜方肌弹性检测的42例颈肩部疼痛患者为研究对象,由两位超声医师分别测量不同时间的斜方肌弹性值。评价同一检查者不同时间测量的弹性值和不同检查者测量的弹性值的可重复性。结果同一检查者在不同时间测量的斜方肌弹性值和不同检查者测量的斜方肌弹性值比较,差异无统计学意义(P>0.05)。斜方肌弹性值在同一检查者不同时间和不同检查者之间的组内相关系数(ICC)>0.75及相关系数|r|>0.80(P<0.05)。同时,Bland-Altman图显示斜方肌弹性值在检查者内的一致性和检查者间的可重复性良好。结论该技术检测斜方肌弹性具有良好的可重复性。Objective To evaluate the repeatability of acoustic radiation force impulse imaging technology to measure the elasticity of trapezius in patients with neck and shoulder pain.Methods A total of 42 patients with neck and shoulder pain who accepted trapezius elasticity examination in the Department of Ultrasound in this hospital from April 2019 to August 2020 were selected as the research subjects.The trapezius elasticity values at different times were measured by two sonographers separately.The repeatability of elasticity values measured by the same examiner at different times and by different examiners was assessed.Results There was no statistical difference between the trapezius elasticity values measured by the same examiner at different times or between different examiners(P>0.05).The intra-group correlation coefficients(ICC)of the trapezius elasticity values of the same examiner at different times and between different examiners were all more than 0.75 and the correlation coefficients|r|were all more than 0.80(P<0.05).Meanwhile,the Bland-Altman diagram figures showed that the elasticity value of trapezius muscle was consistent among examiners and had good repeatability among examiners.Conclusion The technique has good repeatability in detecting the elasticity of trapezius.

关 键 词：声辐射力脉冲成像 超声 斜方肌 可重复性 颈肩部疼痛 

分 类 号：R871.5[医药卫生—运动医学]