高频肌骨超声在空降兵驻训训练伤中的应用价值  

The application value of high-frequency musculoskeletal ultrasound in training injuries of airborne troops during field training.

作　　者：魏兰兰 侯丽玲 Wei Lanlan;Hou Liling(Ultrasound Special Diagnosis Department of PLA Hospital 95829,Wuhan,Hubei)

机构地区：[1]解放军95829部队医院超声特诊科,湖北武汉

出　　处：《运动科学与健康研究》2025年第2期21-26,共6页Research on Sports Science and Health

摘　　要：目的:探讨高频肌骨超声在空降兵户外驻训环境中对训练伤的应用价值。方法:选取2023年1~12月我院收治的因长期高强度训练导致的训练伤(以膝关节损伤为例)患者40例(左右膝共80例)进行回顾性分析,均行高频肌骨超声(观察组)、MRI(对照组)及关节镜检查(金标准),评估高频肌骨超声及MRI对膝关节病的诊断价值,对比它们的准确率、检出率、检查所需时间。结果:滑膜炎、滑囊炎、肌腱病、肌腱损伤及撕裂准确率及检出率高频肌骨超声高于MRI,高频肌骨超声检查时间较MRI短,差异有统计学意义(P<0.05),骨关节炎高频肌骨超声检出率及准确率≈MRI;半月板损伤、韧带损伤高频肌骨超声检出率及准确率低于MRI,差异无统计学意义(P>0.05)。结论:高频肌骨超声及MRI对膝骨关节病均有较高诊断价值,高频肌骨超声可作为驻训特殊环境中训练伤的首选辅助诊断工具,为军事训练伤提供第一线诊疗帮助。Objective:To investigate the application value of high frequency musculoskeletal ultrasonography in training injuries of airborne soldiers in outdoor resident training environment.Methods:Retrospective analysis was performed on 40 patients(80 in total,left and right knee)with long-term high-intensity training injuries(taking knee injury as an example)admitted to our hospital from January to December 2023.Musculoskeletal ultrasound(observation group),MRI(control group)and arthroscopy(gold standard)were performed to evaluate the diagnostic value of ultrasound and MRI in knee diseases.Compare their accuracy,detection rate,and inspection time.Results:The accuracy and detection rate of musculoskeletal ultrasound were higher than MRI in synovitis and bursitis,tendinopathy,tendon injury and tear,and the examination time of musculoskeletal ultrasound was shorter than MRI,with statistical significance(P<0.05).The detection rate and accuracy rate of musculoskeletal ultrasound in osteoarthritis was about MRI.The ultrasonic detection rate and accuracy of meniscus injury and ligament injury were lower than those of MRI,and the difference was not statistically significant(P>0.05).Conclusion:Both high-frequency musculoskeletal ultrasound and MRI have high diagnostic value for knee osteoarthropathy,and high-frequency musculoskeletal ultrasound can be used as the first choice of auxiliary diagnostic tools for training injuries in special training environments,providing first-line diagnosis and treatment help for military training injuries.

关 键 词：高频肌骨超声 膝关节 运动损伤 骨关节炎 滑膜炎及滑囊炎 半月板损伤 肌腱及韧带损伤 

分 类 号：P90[天文地球—自然地理学] K91[历史地理—人文地理学]