肌骨超声对肢体疼痛患者的诊断价值  

Diagnostic value of musculoskeletal ultrasound in patients with limb pain

作　　者：龙正锡 符蓓 樊琦 宋嫣[1] 罗丽华[1] 刘婷婷[1] 齐慧玲 陈苏江 LONG Zhengxi;FU Bei;FAN Qi;SONG Yan;LUO Lihua;LIU Tingting;QI Huiling;CHEN Sujiang(Department of Ultrasound,the First Hospital of Nanchang(the Third Affiliated Hospital of Nanchang University),Nanchang 330000,Jiangxi,China)

机构地区：[1]南昌市第一医院(南昌大学第三附属医院)超声科,江西南昌3300001

出　　处：《中国现代医生》2024年第13期8-10,共3页China Modern Doctor

基　　金：江西省卫生健康委科技计划项目(202211620)。

摘　　要：目的探讨肌骨超声对肢体疼痛患者的诊断价值。方法选取2021年1月至2022年12月南昌市第一医院收治的80例肢体疼痛患者纳入研究,患者入院时均接受磁共振成像(magnetic resonance imaging,MRI)检查和肌骨超声检查,比较肌骨超声、MRI诊断肢体疼痛病因的一致性及符合率。结果80例患者MRI和肌骨超声均检出78例阳性结果,占97.50%,2例未明确疾病类型。以MRI检查结果为依据,肌骨超声诊断肢体疼痛病因共75例与MRI结果符合,总符合率为96.15%(75/78),一致性极好(Kappa=0.907)。结论肌骨超声可清晰显示细微组织结构,诊断肢体疼痛的准确率较高,与MRI诊断的一致性极好。Objective To explore the diagnostic value of musculoskeletal ultrasound in patients with limb pain.Methods A total of 80 patients with limb pain admitted to the First Hospital of Nanchang from January 2021 to December 2022 were included in the study.All patients received magnetic resonance imaging(MRI)and musculoskeletal ultrasound on admission.The consistency and coincidence rate of musculoskeletal ultrasound and MRI in diagnosing the cause of limb pain were compared.Results In the 80 patients,MRI and musculoskeletal ultrasound detected positive results in 78 cases,accounting for 97.50%,and 2 cases had no clear disease type.According to the results of MRI,there were 75 cases in which musculoskeletal ultrasound diagnosis of the cause of limb pain was consistent with the MRI results,and total coincidence rate was 96.15%(75/78),with excellent consistency(Kappa=0.907).Conclusion Musculoskeletal ultrasound can clearly display the fine tissue structure,and the diagnosis accuracy of limb pain is high,and the diagnosis consistency with MRI is excellent.

关 键 词：肢体疼痛 肌骨超声 磁共振成像 诊断价值 

分 类 号：R445.1[医药卫生—影像医学与核医学]