肌骨超声、多层螺旋CT检查在肱三头肌肌腱断裂伴骨化性肌炎诊断中的应用比较  

Comparison of Muscle Bone Ultrasound and MSCT Examination in the Diagnosis of Triceps Brachii Tendon Rup⁃ture with Ossifying Myositis

作　　者：张浩良 Zhang Haoliang(Functional Examination Department,Henan Luoyang Orthopedic Hospital,Luoyang,Henan,450016,China)

机构地区：[1]河南省洛阳正骨医院(河南省骨科医院)功能检查科,河南洛阳450016

出　　处：《黑龙江医学》2024年第19期2377-2379,共3页Heilongjiang Medical Journal

摘　　要：目的:分析对比肌骨超声、多层螺旋CT (MSCT)检查在肱三头肌肌腱断裂伴骨化性肌炎诊断中的应用价值。方法:选取2020年3月—2022年3月河南省洛阳正骨医院收治的80例肱三头肌肌腱断裂伴骨化性肌炎患者作为研究对象,对患者开展肌骨超声、MSCT检查,统计比较两种不同检查措施在此类患者中的诊断价值。结果:肌骨超声检查肱三头肌肌腱断裂、骨化性肌炎的检出率高于MSCT检查,差异有统计学意义(χ^(2)=5.378、5.096,P<0.05);肌骨超声检查骨质破坏、软组织肿胀、关节积液的检出率高于MSCT检查,差异有统计学意义(χ^(2)=4.254、6.234、8.229,P<0.05);肱骨滑车近端的肱三头肌肌腱纤维连续中断,断端中部表现成不均匀的低回声,近端断端肌腱表现为不规则的强回声,同边界分界不显著;早期边缘表现成斑点形态的稍高密度钙化灶,中期表现成等—稍高—高密度的分层征象,晚期的边界清晰,四周未见软组织肿块。结论:与MSCT检查相比,肌骨超声在肱三头肌肌腱断裂伴骨化性肌炎诊断中效果更佳,具有较高的检出率。Objective:To analyze and compare the diagnostic value of musculoskeletal ultrasound and multi-slice spiral CT(MSCT)in Triceps tendon rupture with myositis ossificans.Methods:80 cases of Triceps tendon rupture with myositis ossificans admitted to the hospital from March 2020 to March 2022 were selected,and 80 cases were examined by musculoskeletal ultrasound and MSCT.Results:The detection rate of triceps tendon rupture and ossificans mysitis by musculoskeletal ultrasonography was higher than that by MSCT,and the difference was statistically significant(χ^(2)=5.378,5.096;P<0.05).The detection rates of bone destruction,soft tissue swelling and joint effusion by musculoskeletal ultrasound were higher than those by MSCT,and the difference was statistically significant(χ^(2)=4.254,6.234,8.229;P<0.05).The triceps tendon fibers of proximal trochlea of humerus were continuously interrupted,the middle part of the broken end showed uneven low echo,the tendon of the proximal broken end showed irregular strong echo,and the boundary was not significant.In the early stage,the edges showed mottled calcification with slightly higher density.In the middle stage,the edges showed equal-slightly higher density stratification signs.In the late stage,the boundaries were clear and no soft tissue masses were seen around.Conclusion:Compared with MSCT,musculoskeletal ultrasound is more effective in the diagnosis of Triceps tendon rupture with ossifying myositis,with a higher detection rate,which can be widely used in clinical practice.

关 键 词：肱三头肌肌腱断裂 骨化性肌炎 肌骨超声 多层螺旋CT 

分 类 号：R68[医药卫生—骨科学]