高频超声在冻结肩中的诊断价值
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Diagnostic value of high frequency ultrasound in frozen shoulder
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    摘要:

    目的 探讨高频超声在冻结肩中的诊断价值。方法选取我院2018年08月~2019年08月诊断为冻结肩的 34例患者为研究对象,并选取同期无任何肩关节症状者53例为对照组,均行肩关节超声检查,通过高频超声评估无症状健康人群和冻结肩患者肩部盂肱关节囊厚度等超声表现,分析影响盂肱关节囊厚度值的因素,比较两组肩关节超声表现和盂肱关节囊厚度。结果 对照组中男性的平均厚度大于女性(P<0.01),男性和女性左肩与右肩之间的腋下关节囊厚度无差异(P>0.01)。腋下关节囊厚度与身高(r=0.323)和体重(r=0.317)呈正相关,与BMI(r=0.163)和年龄(r=〖CD*3/5〗0102)无关。冻结肩患者患侧较对照组超声测得腋下关节囊明显增厚,差异有统计学意义(P<0.05)。盂肱关节囊厚度对冻结肩有较好的诊断精度。结论 超声能准确评估盂肱关节下方关节囊厚度、肩袖间隙回声及血流信号变化,反映患者肩关节形态结构的变化,可作为冻结肩辅助诊断的重要工具。

    Abstract:

    Objective To evaluate the diagnostic value of ultrasound in frozen shoulders by evaluating the ultrasound findings of shoulder and joint capsule thickness in asymptomatic healthy people and frozen shoulder patients.Methods Thirtyfour patients from Aug 2018 to Oct 2018 with frozen shoulders were enrolled in our study. In the same period, 53 patients without any shoulder joint symptoms were used as the control group. Ultrasound examination of the shoulder joint was performed to analyze the thickness of the joint capsule. The ultrasound performance of the shoulder joints and the thickness of the joint capsule were compared. Results The mean thickness of the male in the control group was greater than that of the female, which was statistically significant (P<0.01). There was no difference in the thickness of the joint capsule between the left shoulder and the right shoulder of the male and female. The thickness of theunderarm joint capsule was positively correlated with height (r=0.323) and body weight (r=0.317), independent of BMI (r=0.163) and age (r=〖CD*3/5〗0.102). Compared with the healthy control group, the underarm joint capsule of the frozen shoulder was significantly thicker, and the difference was statistically significant (P<0.05). Conclusion Ultrasound can accurately evaluate the thickness of the joint capsule, the echo of the rotator cuff and the blood flow signal, reflecting changes in the morphology and structure of the patient's shoulder joint, and can be used as an important tool for the diagnosis of frozen shoulder.

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  • 在线发布日期: 2021-04-01
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