超声在Tietze综合征诊断与治疗中的应用  

Application of ultrasonography in diagnosis and treatment of Tietze syndrome

作　　者：李娜 LI Na(Department of Electrodiagnosis,Changchun Traditional Chinese Medicine Hospital,Changchun,Jilin 130000,China)

机构地区：[1]长春市中医院电诊科,吉林长春130000

出　　处：《影像研究与医学应用》2024年第6期4-8,共5页Journal of Imaging Research and Medical Applications

摘　　要：Tietze综合征(TS)是一种良性、自限性、非化脓性上胸部关节疾病,表现为前胸壁疼痛、压痛和肿胀。TS属于一种病因不明的罕见病,且无诊断金标准。目前,TS的确诊仍基于临床诊断,需先排除严重的心肺疾病、消化系统疾病、肿瘤性疾病及其他常见的胸壁骨骼肌肉疼痛(如肋软骨炎)等。然而,由于无特异性临床表现,常常被漏诊或被误诊为更严重的疾病,因此,本文从病因、病理、临床表现、影像学检查及治疗几个方面进行分析总结,并重点阐述超声在TS诊断与局部治疗中的应用价值。旨在运用最简单可行且敏感的影像学方法辅助诊断并排除TS的鉴别诊断。此外,超声对评价预后也至关重要。Tietze syndrome(TS)is a benign,self-limiting arthropathy of the upper costal cartilages joint,without purulent character,the characteristic symptoms are anterior chest wall pain,tenderness and swelling.TS is a rare disease of unknown etiology,without reference standards to verify the diagnoses.At present,the diagnosis of TS is still based on clinical findings in the absence of other possibly life-threatening health issues,in particular severe cardiopulmonary disorders,gastroesophageal diseases,tumors and other common musculoskeletal chest pain(such as costochondritis).However,it is often missed or misdiagnosed as a more serious disease because of ambiguous clinical presentations.Therefore,this article analyzes and summarizes the etiology,pathology,clinical manifestation,imaging examination and treatment,especially investigates the value of ultrasonographic examination in the diagnosis of TS and its local treatment.The purpose of this study is to use a readily available,sensitive imaging modality for assessing and eliminating differential diagnoses of TS.In addition,ultrasonography is also essential for evaluating its prognosis.

关 键 词：TIETZE综合征 超声 胸肋关节 

分 类 号：R445.1[医药卫生—影像医学与核医学]