剪切波超声弹性成像技术在颈肩肌筋膜疼痛综合征中的应用

发布时间：2018-01-09 04:03

本文关键词：剪切波超声弹性成像技术在颈肩肌筋膜疼痛综合征中的应用　出处：《中国骨伤》2016年02期 　论文类型：期刊论文

【摘要】：目的 :探讨剪切波超声弹性成像技术在颈肩肌筋膜疼痛综合征中的应用。方法 :选取2013年12月至2014年7月临床诊断为颈肩肌筋膜疼痛综合征的患者30例(病例组)及对照组30例(健康人群)。病例组男17例,女13例,平均年龄(44±3)岁;对照组男22例,女8例,平均年龄(37±5)岁。病例组患者行手法治疗,隔日1次,共7次,分别以剪切波超声弹性成像技术检测病例组患者治疗前后斜方肌紧张处,以及对照组斜方肌降部肌腹,记录并比较组织弹性图和杨氏模量值,对结果进行统计分析。结果:病例组治疗前斜方肌组织弹性图以绿蓝色为主,弹性评分3.70±1.53,杨氏模量值(43.4±15.6)k Pa;治疗后组织弹性图以蓝色为主,弹性评分2.40±0.87,杨氏模量值(29.0±5.9)k Pa;对照组组织弹性图以蓝色为主,弹性评分1.60±0.72,杨氏模量值(24.0±7.6)k Pa;三者两两比较,P=0.000,差异均有统计学意义。结论:剪切波超声弹性成像技术可作为检测中医手法治疗颈肩肌筋膜疼痛综合征疗效的客观检测方法,且较敏感。
[Abstract]:Objective: to investigate the application of shear wave ultrasound elastography in the treatment of neck and shoulder myofascial pain syndrome. From December 2013 to July 2014, 30 patients with cervical and shoulder myofascial pain syndrome were selected. There were 30 cases in the case group and 30 cases in the control group. There were 17 males in the case group. 13 cases were female, mean age was 44 卤3 years old; The control group consisted of 22 males and 8 females with an average age of 37 卤5 years. The patients in the case group were treated with manual therapy once every other day for 7 times. The tension of trapezius muscle before and after treatment and the descending muscle abdomen of trapezius muscle in control group were detected by shear wave ultrasonic elastic imaging technique respectively. The tissue elasticity and Young's modulus were recorded and compared. Results: before treatment, the elasticity of trapezius muscle was mainly green and blue, the elastic score was 3.70 卤1.53, and the Young's modulus was 43.4 卤15.6kPa. After treatment, the tissue elasticity was mainly blue, the elastic score was 2.40 卤0.87, and the Young's modulus was 29.0 卤5.9 kPa. In the control group, the tissue elasticity was mainly blue, the elastic score was 1.60 卤0.72, and the Young's modulus was 24.0 卤7.6kPa. Conclusion: Shear wave ultrasonic elastic imaging can be used as an objective method to detect the therapeutic effect of traditional Chinese medicine in the treatment of cervical and shoulder myofascial pain syndrome. And more sensitive.
【作者单位】：中国中医科学院望京医院超声科;
【分类号】：R445.1;R686.3
【正文快照】： 颈肩肌筋膜疼痛综合征常伴颈肩部疼、酸、僵、麻等症状,且时重时轻反复发作,严重影响患者日常生活[1]。临床治疗方法众多,主要以中医手法、针灸、理疗、消炎等复合保守治疗为主,疗效显著,不良反应少,但目前其疗效评定多为患者自觉症状的改善,尚缺乏诊断及评定其疗效的客观检测

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