沿海驻防官兵军事训练致肱二头肌长头肌腱炎超声多模态评估研究的价值  

Value of ultrasound multimodal assessment on myotenositis of long head of biceps brachii induced by military training in coastal garrison officers and soldiers

作　　者：党笑坤 刘武岩 孙建新 单磊敬 王卫红 杜静禹 闫文菲 关雪 李晓萌 王哲 高惟英 Dang Xiaokun;Liu Wuyan;Sun Jianxin;Shan Leijing;Wang Weihong;Du Jingyu;Yan Wenfei;Guan Xue;Li Xiaomeng;Wang Zhe;Gao Weiying(Beidaihe Rehabilitation and Recuperation Center of the PLA Joint Logistic Support Force,Beidaihe 066100,China)

机构地区：[1]联勤保障部队北戴河康复疗养中心,北戴河066100

出　　处：《中华航海医学与高气压医学杂志》2025年第1期55-58,共4页Chinese Journal of Nautical Medicine and Hyperbaric Medicine

摘　　要：目的评估超声多模态检测沿海驻防官兵军事训练致肱二头肌长头肌腱炎的应用价值。方法回顾性分析2020年1月至2023年12月联勤保障部队北戴河康复疗养中心特诊科收集的军事训练引起的肱二头肌长头肌腱炎87例官兵的临床资料。按临床表现、病程及超声表现分为急性期组(n=31)、慢性期A组(n=29)和慢性期B组(n=27)。采用超声检查仪选用肌骨模式进行二维图像扫查及能量多普勒血流仪检查患者患侧肌腱厚度、回声减低、血流增多、回声杂乱、内部钙化点的发生情况,计算肌腱炎的发生率。计算二维图像截图的灰度值用以量化评估肱二头肌长头肌腱的病变情况。结果急性期组患者患侧的肌腱增厚、血流增多、回声减低发生率均明显高于健侧(均P<0.01);慢性期A组患者患侧肌腱增厚、回声减低、血流增多、回声杂乱、内部钙化发生率均明显高于健侧(P<0.05或P<0.01);慢性期B组患者患侧回声杂乱、内部钙化发生率均明显高于健侧(均P<0.01)。急性期组患者患侧回声杂乱、内部钙化点发生率均明显低于慢性期A组(均P<0.05)。慢性期A组与慢性期B组患侧肌腱厚度、回声减低、血流增多、回声杂乱、内部钙化点发生率比较差异均有统计学意义(均P<0.05)。3组患者患侧灰度值均低于健侧(均P<0.05);急性期组患者患侧与慢性期B组患侧超声灰度值比较差异有统计学意义(P<0.05)。结论超声二维图像、能量多普勒及灰度值软件三者联合运用对沿海驻防官兵肱二头肌长头腱炎的诊断和分期具有较好的临床价值。Objective To study the application value of ultrasound multimodal assessment in the diagnosis of myotenositis of long head of biceps brachii caused by military training in coastal garrison officers and soldiers.Methods A retrospective analysis was conducted on the clinical data of 87 officers and soldiers with myotenositis of long head of biceps brachii caused by military training who were treated in the Military Medical Treatment Department of the Beidaihe Rehabilitation and Recuperation Center of the PLA Joint Logistic Support Force from January 2020 to December 2023.They were divided into acute phase group(n=31),chronic phase group A(n=29),and chronic phase group B(n=27),according to clinical manifestations,disease course,and ultrasound findings.An ultrasound diagnostic device with a musculoskeletal mode,a two-dimensional image scan,and energy Doppler blood flow were used to examine the affected side tendon thickness,echo reduction,increased blood flow,disorganized echotexture,and presence of internal calcification.The incidence of tendonitis was calculated.The grayscale value of the two-dimensional image screenshots was used to quantitatively evaluate the pathological condition of the long head tendon lesions in the biceps brachii muscle.Results In the acute phase group,the incidences of tendon thickening,increased blood flow,and decreased echogenicity on the affected side were significantly higher than those on the healthy side(all P<0.01).In the chronic phase group A,the incidences of tendon thickening,decreased echogenicity,increased blood flow,disorganized echotexture,and internal calcification on the affected side were significantly higher than those on the healthy side(P<0.05 or P<0.01).In the chronic phase group B,the incidences of disorganized echotexture and internal calcification on the affected side were significantly higher than those on the healthy side(all P<0.01).The incidences of disorganized echotexture and internal calcification on the affected side in the acute phase group were significantl

关 键 词：肱二头肌长头肌腱炎 沿海驻防官兵 军事训练 超声二维图像 能量多普勒 灰度值 超声多模态 

分 类 号：R835.3[医药卫生—航空、航天与航海医学]