高频超声在肱骨外上髁炎诊断中的价值

发布时间：2018-03-03 03:00

本文选题：高频　切入点：超声　出处：《山西医科大学》2014年硕士论文　论文类型：学位论文

【摘要】：目的：探讨高频超声在肱骨外上髁炎中的应用价值。方法：对40名健康成年人及37名经临床诊断的肱骨外上髁炎患者双侧肘关节分别行高频超声检查。测量各个伸肌总腱的厚度,对健康组及病例组的双侧肘关节分别进行独立样本t检验,P0.05认为差异有统计学意义。采用疼痛视觉模拟评分法(visual analogy scale, VAS)把肱骨外上髁炎疼痛分为轻、中和重度。分析超声图像,把伸肌总腱损伤分为轻、中和重度。对肱骨外上髁炎VAS疼痛级别和伸肌总腱损伤程度作Spearman等级相关分析,P0.05认为有相关性。把伸肌总腱血流情况分为零、一、二、三级。对VAS疼痛级别和伸肌总腱血流程度作Spearman等级相关分析,P0.05认为有相关性。结果：①肱骨外上髁炎患者伸肌总腱在高频超声下表现主要有肌腱增厚,回声减低或不均,肌腱内部纤维不连续,血流信号增加,周边积液,病程较长者还可合并肌腱内钙化,周边骨质改变等。②健康组双肘伸肌总腱的肌腱厚度超声测量值基本一致,差异无统计学意义(P0.05)。③病例组患肘伸肌总腱的肌腱厚度超声测量值大于健肘,差别有统计学意义(P0.05)。④肱骨外上髁炎VAS疼痛级别与伸肌总腱损伤程度呈正相关(P0.05)。⑤肱骨外上髁炎VAS疼痛级别与伸肌总腱血流程度呈正相关(P0.05) 结论：①高频超声可作为肱骨外上髁炎诊断的重要辅助检查。②肱骨外上髁炎患者的疼痛程度与伸肌总腱损伤程度及血流丰富程度呈正相关。
[Abstract]:Objective: to evaluate the value of high-frequency ultrasound in the treatment of humeral epicondylitis. Methods: 40 healthy adults and 37 clinically diagnosed patients with epicondylitis of humerus were examined with high frequency ultrasound. T test of bilateral elbow joints in healthy group and case group (P0.05) showed that the difference was statistically significant. Visual analogy scale (vas) was used to classify the pain of lateral epicondylitis of humerus into mild, moderate and severe. The total tendon injury of extensor muscle was divided into light, moderate and severe. The Spearman grade correlation analysis of VAS pain grade and the degree of total tendon injury of extensor muscle of humerus epicondylitis was made. The blood flow of extensor tendon was divided into zero, one and two, respectively. VAS pain grade and total extensor tendon blood flow were analyzed by Spearman grade correlation analysis (P0.05). Results under high frequency ultrasound, the common tendon of extensor muscle in the supracondylitis supracondylitis of humerus showed mainly tendon thickening, low or uneven echo, discontinuous internal fibers, increased blood flow signal, peripheral effusion, and calcification of tendon in older patients. The thickness of tendon measured by ultrasound in the healthy group was the same as that in the healthy group. There was no significant difference in the thickness of tendon between the two cubitus extensor muscles, and there was no significant difference in the thickness of the tendon between the two cubitus extensor tendons and the normal elbow. There was a positive correlation between the VAS pain grade and the total tendon injury degree of extensor muscle. There was a positive correlation between the VAS pain level and the blood flow degree of the extensor tendon in the lateral epicondylitis of humerus (P0.055.The degree of VAS pain was positively correlated with the blood flow degree of the extensor tendon (P0.05)). Conclusion the high frequency ultrasound can be used as an important adjuvant examination for the diagnosis of extrahumeral epicondylitis .2 the degree of pain is positively correlated with the degree of injury of extensor tendon and the abundance of blood flow in patients with external epicondylitis of humerus.
【学位授予单位】：山西医科大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R445.1;R681

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