膝关节麻醉下手法松解术后的超声影像学动态评估  

Dynamic evaluation of ultrasound imaging after manipulation under anesthesia of knee joint

作　　者：侯英敏 高毅 常才 黄云霞 HOU Yingmin;GAO Yi;CHANG Cai;HUANG Yunxia(Department of Ultrasonography,Fengcheng Hospital of Fengxian District,Shanghai 201411,China;Department of Ultrasound,Fudan University Shanghai Cancer Center,Department of Oncology,Shanghai Medical College,Fudan University,Shanghai 200032,China)

机构地区：[1]上海市奉贤区奉城医院超声科,上海201411 [2]复旦大学附属肿瘤医院超声科,复旦大学上海医学院肿瘤学系,上海200032

出　　处：《肿瘤影像学》2024年第6期634-639,共6页Oncoradiology

基　　金：上海市奉贤区(社会类)科技发展基金医学类项目(20211822)。

摘　　要：目的:探讨高频超声动态观察膝关节麻醉下手法松解术(manipulation under anesthesia,MUA)后的超声影像学表现。方法:回顾并分析2021年1月—2022年06月于上海市奉贤区奉城医院收治的35例MUA患者的临床及超声影像学资料。每例患者的超声影像学资料包括治疗前及术后2周和12周时膝关节积液、滑膜情况,股四头肌肌腱、髌韧带回声及厚度,比较治疗前及术后超声影像学变化。结果:MUA术后2周,超声显示37.1%患者滑膜增厚,20.0%患者膝关节积液;股四头肌肌腱及髌韧带回声减低,厚度平均增加23.2%及18.3%(均P<0.05);28.6%患者股四头肌/髌韧带肌腱内见粗大钙化灶,8.6%患者髌韧带内见局部缺损灶。MUA术后12周各参数均改善。结论:超声能够动态监测膝关节MUA术后关节腔及肌腱和韧带的形态学改变,有助于指导临床制订进一步的治疗方案。Objective:To explore the performance of high-frequency ultrasound after manipulation under anesthesia(MUA)of knee joint.Methods:The clinical and ultrasound imaging data of 35 patients who underwent MUA of knee joint in Shanghai Fengcheng hospital from January 2021 to June 2022 were retrospectively analyzed.The ultrasound parameters of each patient included joint effusion,synovium,quadriceps tendon and patellar ligament echo and thickness before and after the MUA.Results:After 2 weeks of MUA,37.1%of the patients had signs of synovitis,and 20.0%of the patients had joint effusion.Echo reduction was observed in all the quadriceps tendon and patellar ligament,and the thickness were increased with an average of 23.2%and 18.3%,respectively.Macrocalcification was found in 28.6%of the quadriceps tendon and patellar ligaments,and a hypoechoic defect on the patellar ligament was found in 8.6%of the patients.All these parameters were improved after 12 weeks of MUA.Conclusion:Ultrasound provides morphological changes of the knee joint after MUA,which is helpful to guide the clinical decision of further treatment.

关 键 词：高频超声 膝关节 麻醉下手法松解术 

分 类 号：R445.1[医药卫生—影像医学与核医学]