肱骨外上髁炎的高频超声诊断价值  

The value of high frequency ultrasonography in diagnosing external humeral epicondylitis

作　　者：王明花[1] 郭瑞军[1] 邵德成[1] 殷春霞[1] 张文云[1] 李莉[1] 甄景琴[1] 

机构地区：[1]河北医科大学附属第三医院超声科,河北石家庄050051

出　　处：《中国医学影像技术》2004年第1期80-81,共2页Chinese Journal of Medical Imaging Technology

摘　　要：目的　探讨高频超声对肱骨外上髁炎的诊断价值。方法　应用高频超声观察 30例健康志愿者肱骨外上髁 ,在此基础上检查 78例肱骨外上髁炎患者。结果　高频超声能清晰显示肱骨外上髁、伸肌总腱回声。对于常见的由伸肌总腱损伤及撕裂所致的肱骨外上髁炎高频超声不仅有诊断价值 ,而且对临床治疗有指导意义 ,对非手术治疗患者超声还可判断疗效。结论　高频超声可作为肱骨外上髁炎患者有效、实用、无创的影像学检查方法。Objective To evaluate the value of high frequency ultrasonography in diagnosis of external humeral epicondylitis.Methods Thirty normal volunteers and seventy eight patients with external epicondylitis were examined with high frequency ultrasonography. Most of the patients had a history of repetitively mild trauma. Ultrasonographic features of common extensor origin in normal volunteers and patients with external humeral epicondylitis were described and discussed. Results The common extensor origin and external humeral epicondyle were clearly showed on high frequency ultrasonography. The normal common extensor origin is composed of longitudinal fibrils. The ultrasonographic features in the patients with external humeral epicondylitis caused by common extensor injury were focal low hypoechoic or ”dot-liked” hyperechoic. Conclusion High frequency ultrasonography, as an efficient and noninvasive imaging technique, can be used to evaluate external humeral epicondylitis and its severity, which is very important for clinical diagnosis, management and follow up after treatment.

关 键 词：高频超声 肱骨外上髁炎 

分 类 号：R681.7[医药卫生—骨科学] R445.1[医药卫生—外科学]