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超声定量评估结节间沟

发布时间:2019-03-03 12:55
【摘要】:目的探讨超声测量正常成人结节间沟的可行性。方法对120名健康成人(正常组)、20个成人肱骨大体标本(标本组)及19例肱二头肌长头肌腱脱位患者(脱位组)进行结节间沟超声扫查,分别测量结节间沟深度(D)、顶部宽度(W)及中部宽度(~(1/2)W),计算W/D比值并据此对结节间沟进行分型;对3组的结节间沟测值及分型进行比较。结果正常组中,优势手亚组D为(4.14±0.07)mm,W为(10.22±0.17)mm,~(1/2)W为(6.46±0.09)mm,W/~(1/2)W为1.59±0.19;非优势手亚组D为(4.19±0.06)mm,W为(10.26±0.19)mm,~(1/2)W为(6.33±0.10)mm,W/~(1/2)W为1.62±0.18,优势手与非优势手结节间沟D、W、~(1/2)W、W/~(1/2)W比较,差异均无统计学意义(P均0.05)。标本组中,D为(4.24±0.10)mm,W为(9.96±0.24)mm,~(1/2)W为(6.29±0.11)mm;脱位组中,D为(3.15±0.08)mm,W为(14.95±0.26)mm,~(1/2)W为(8.35±0.16)mm。优势手亚组结节间沟的D、W、~(1/2)W及结节间沟分型与标本组的差异均无统计学意义(P均0.05),而优势手亚组、标本组与脱位组结节间沟测值及分型的差异均有统计学意义(P均0.01)。结论超声可清晰显示成人结节间沟形态并进行测量,可作为结节间沟定量评估的有效方法。
[Abstract]:Objective to explore the feasibility of ultrasonic measurement of intertubercular sulcus in normal adults. Methods Internodular sulcus (D), was measured in 20 adult humerus gross specimens (specimen group) and 19 patients with long head tendon dislocation of biceps brachii muscle (dislocation group). The intertubercular sulcus depth was measured in 120 healthy adults (normal group), 20 adult humeral gross specimens (specimen group) and 19 patients with long head tendon dislocation of biceps brachii (dislocation group). The apical width (W) and the middle width (~ (1) ~ (2) W),) calculated the ratio of W ~ (D) and then classified the intertubercular sulcus. The values and types of intertubercular sulcus in three groups were compared. Results in the normal group, the dominant hand subgroup D was (4.14 卤0.07) mm,W and (10.22 卤0.17) mm,~ (1 / 2) W was (6.46 卤0.09) mm,W/~ (1 / 2) W (1.59 卤0.19); In non-dominant hand group, D was (4.19 卤0.06) mm,W, (10.26 卤0.19) mm,~ (1? 2) W was (6.33 卤0.10) mm,W/~ (1? 2) W was 1.62 卤0.18, and D, W, between dominant hand and non-dominant hand were (4.19 卤0.06) mm,W/~ and (10.26 卤0.19) mm,W/~ (1? 2) W, respectively. There was no significant difference between ~ (1) ~ (2) W and W ~ (1) ~ (2) W (all P 0.05). In the sample group, D was (4.24 卤0.10) mm,W and (9.96 卤0.24) mm,~ (1 / 2) W was (6.29 卤0.11) mm;. In dislocation group, D was (3.15 卤0.08) mm,W and (14.95 卤0.26) mm,~ (1 / 2) W was (8.35 卤0.16) mm.. There was no significant difference in D, W, ~ (1) ~ (2) W and the type of intertubercular sulcus between the dominant hand subgroup and the specimen group (P 0.05), but the dominant hand subgroup had no significant difference with the specimen group (P < 0.05). There were significant differences in the values and types of nodules between the sample group and the dislocation group (P 0.01). Conclusion Ultrasonography can clearly display and measure the shape of intertubercular sulcus in adults, which can be used as an effective method for quantitative evaluation of internodular sulcus.
【作者单位】: 江苏省中医院南京中医药大学附属医院超声医学科;
【分类号】:R445.1;R68

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