肌骨超声在创伤性浅表软组织损伤中的应用
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摘要
目的探讨肌骨超声在创伤性浅表软组织损伤中的应用价值。方法选择2017年1月～2018年9月在我院就诊的100例疑似创伤性浅表软组织损伤患者,对所有患者实施X线检查、肌骨超声检查,以手术诊断结果为金标准,比较X线、肌骨超声对创伤性浅表软组织损伤的诊断结果,并分析X线、肌骨超声诊断结果与手术诊断结果间的一致性。结果肌骨超声对创伤性浅表软组织损伤的诊断灵敏度、特异度、准确率均高于X线(P<0.05),肌骨超声对肌肉损伤、肌腱损伤、韧带损伤、半月板损伤的诊断符合率均高于X线(P<0.05)。经一致性分析,肌骨超声的诊断结果与手术诊断结果间的一致性良好,X线与手术诊断结果间的一致性中等。结论肌骨超声用于创伤性浅表软组织损伤诊断中具有良好的价值,可对浅表软组织损伤予以灵敏检出,对其软组织损伤类型予以鉴别区分。
Objective To study the application value of musculoskeletal ultrasound in traumatic superficial soft tissue injury. Methods From January 2017 to September 2018, 100 patients suspected with traumatic superficial soft tissue injury in our hospital were selected, all patients were examined by X-ray and musculoskeletal ultrasonography. The results of operative diagnosis were the gold standard, the diagnostic results of X-ray and musculoskeletal ultrasonography for traumatic superficial soft tissue injury were compared, and the consistency between the diagnostic results of X-ray and musculoskeletal ultrasonography and the operative diagnosis results was analyzed. Results The diagnostic sensitivity, specificity and accuracy of musculoskeletal ultrasound for traumatic superficial soft tissue injury were higher than those of X-ray(P<0.05). The diagnostic coincidence rate of musculoskeletal ultrasound for muscle injury, tendon injury,ligament injury and meniscus injury was higher than that of X-ray(P<0.05). The consistency analysis showed that the diagnostic results of musculoskeletal ultrasonography were in good agreement with those of surgical diagnosis, and the consistency between X-ray and surgical diagnosis was moderate. Conclusion The musculoskeletal ultrasound has a good diagnostic value for the diagnosis of traumatic superficial soft tissue injury. It can detect sensitive superficial soft tissue injury and distinguish the type of soft tissue injury.
Objective To study the application value of musculoskeletal ultrasound in traumatic superficial soft tissue injury. Methods From January 2017 to September 2018, 100 patients suspected with traumatic superficial soft tissue injury in our hospital were selected, all patients were examined by X-ray and musculoskeletal ultrasonography. The results of operative diagnosis were the gold standard, the diagnostic results of X-ray and musculoskeletal ultrasonography for traumatic superficial soft tissue injury were compared, and the consistency between the diagnostic results of X-ray and musculoskeletal ultrasonography and the operative diagnosis results was analyzed. Results The diagnostic sensitivity, specificity and accuracy of musculoskeletal ultrasound for traumatic superficial soft tissue injury were higher than those of X-ray(P<0.05). The diagnostic coincidence rate of musculoskeletal ultrasound for muscle injury, tendon injury,ligament injury and meniscus injury was higher than that of X-ray(P<0.05). The consistency analysis showed that the diagnostic results of musculoskeletal ultrasonography were in good agreement with those of surgical diagnosis, and the consistency between X-ray and surgical diagnosis was moderate. Conclusion The musculoskeletal ultrasound has a good diagnostic value for the diagnosis of traumatic superficial soft tissue injury. It can detect sensitive superficial soft tissue injury and distinguish the type of soft tissue injury.
引文
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[2]林勇斌.高频超声在软组织损伤诊断中的运用价值[J].临床军医杂志,2014,42(6):654-655.
[3]宋晓飞,张长成,李振武,等.64层螺旋CT诊断膝关节创伤后隐匿病变及软组织损伤价值探究[J].中国CT和MRI杂志,2017,15(12):140-143.
[4]王其响,巩尊科,王世雁,等.肌骨超声在脑卒中后偏瘫肩痛软组织病变的量化评定[J].临床与病理杂志,2018,38(1):96-101.
[5]庄韬,施彦华.高频彩色多普勒超声在诊断肌肉软组织损伤中的应用价值[J].影像研究与医学应用,2017,1(5):119-120.
[6]汤晓艳,吴伟涛,王琰,等.肌骨超声在创伤性浅表软组织损伤中的应用[J].海南医学,2017,28(21):3510-3513.
[7]毛剑莹,赵小虎,戴号,等.能量多普勒超声对类风湿性胫后肌腱损伤早期诊断价值[J].中华医学杂志,2016,96(41):3311-3314.
[8]李慧丽.高频超声在肌腱损伤及损伤预后观察中的应用价值[J].现代医用影像学,2017,26(3):780-781.
[9]舒和喜.MRI在桡骨远端骨折软组织损伤术前诊断中的应用价值[D].苏州:苏州大学,2015.
[10]张红,霍晓明,冯海洋,等.超声检查在肘关节内侧副韧带损伤诊断中的价值[J].临床超声医学杂志,2016,18(10):708-710.
[11]杨爽.超声检查在肘关节内侧副韧带损伤诊断中的价值[J].当代医学,2018,24(24):33-35.
[12]魏爽,吕江红,廖志平,等.肌骨超声在偏瘫肩痛软组织损伤诊疗中的应用研究进展[J].中国康复医学杂志,2016,31(4):482-484.
[13]刘国彬,张国平,任庆云,等.踝关节不同姿势下MRI检查对其周围韧带及肌腱损伤的诊断价值:单中心、诊断性试验[J].中国组织工程研究,2017,21(4):598-602.
[14]张栋,王庆甫,石鑫超,等.膝骨关节炎肌骨超声与X线片表现的比较与分析[J].中国骨伤,2016,29(5):429-433.
[15]谈雯,陶山,陶斯翠,等.肌骨超声对浅表型结节性筋膜炎的影像诊断[J].重庆医学,2018,47(9):1269-1270.
[16]邢秀红.高频彩色超声在肌肉软组织损伤中的诊断价值[J].中国医疗设备,2015,30(8):53-55.
[17]布阿依夏木·艾比.肌骨超声在创伤性浅表软组织损伤中的应用研究[D].乌鲁木齐:新疆医科大学,2016.
[18]王彤.肌骨超声检查在创伤性浅表软组织损伤中的临床意义[J].山西医药杂志,2017,46(8):888-890.