超声测量冈上肌横截面积的应用价值

发布时间：2018-04-10 23:06

本文选题：冈上肌 + 超声测量　；参考：《广西医科大学》2017年硕士论文

【摘要】：目的:通过在超声下用两种不同的方法连续两天测量冈上肌的横截面积,分析两天之间、两种方法之间冈上肌横截面积测量结果的可靠性和一致性界限,从而探讨超声测量冈上肌横截面积的应用价值。方法:对100例健康志愿者进行超声检查,分别用方法一、方法二连续两天测量健康志愿者右侧冈上肌的横截面积,采用重复测量方差分析来确定不同时间(第一天、第二天)及不同方法(方法一、方法二)对冈上肌横截面积测值的影响,用组内相关系数ICC分析冈上肌横截面积两种方法测量结果的可靠性,用Bland Altman图法来比较两天之间、两种方法之间冈上肌横截面积测量结果的一致性界限。结果:方法一连续两天测量冈上肌横截面积的值分别为6.31±1.09cm2(第一天)、6.29±1.09cm2(第二天),两天之间冈上肌横截面积的差异没有统计学意义(P0.05);方法二连续两天测量冈上肌横截面积的值分别为6.45±1.10cm2(第一天)、6.51±1.11cm2(第二天),两天之间冈上肌横截面积的差异没有统计学意义(P0.05);两种方法测量冈上肌横截面积的值分别为6.30±1.09cm2(方法一)、6.48±1.10cm2(方法二),两种方法之间冈上肌横截面积的差异没有统计学意义(P0.05)。两种方法连续两天测量冈上肌横截面积的组内相关系数ICC范围在0.95~0.97之间。分别用方法一、方法二连续两天测量,两天之间冈上肌横截面积的一致性界限均约±0.5cm2,两种方法之间冈上肌横截面积的一致性界限约±0.5cm2。结论:研究表明超声用这两种方法测量冈上肌横截面积具有很高的可靠性。两种方法能比较灵敏地检测出冈上肌横截面积尺寸的改变,而且这两种方法有较好的一致性,可以互相替换使用。为临床诊断冈上肌疾病方面提供一个可靠的、方便的影像学选择。
[Abstract]:Objective: to measure the cross-sectional area of supraspinatus muscle by two different methods under ultrasound for two consecutive days, and to analyze the reliability and consistency of the measurement results between the two methods.Therefore, the application value of ultrasonic measurement of cross-sectional area of supraspinatus muscle was discussed.Methods: 100 healthy volunteers were examined by ultrasound. Method 1, method 2. The cross-sectional area of right supraspinatus muscle was measured for two consecutive days, and repeated measurement variance analysis was used to determine the different time (first day, first day).On the second day, and the effect of different methods (method 1, method 2) on the measurement of the cross sectional area of supraspinatus muscle, the reliability of the results of the two methods was analyzed by ICC, and the results were compared between two days by Bland Altman method.The consistency between the two methods in measuring the cross sectional area of supraspinatus muscle.Results: the cross sectional area of supraspinatus muscle was measured for two consecutive days (6.31 卤1.09cm ~ 2) (the first day 6.29 卤1.09cm ~ 2) (the second day, there was no significant difference in the cross-sectional area of supraspinatus muscle between the second day and the second day, P0.050.Methods for the second consecutive day, the cross-section of supraspinatus muscle was measured for two consecutive days.There was no significant difference in cross sectional area of supraspinatus muscle (P 0.05).The correlation coefficient (ICC) of the two methods for measuring the cross sectional area of supraspinatus muscle for two consecutive days was in the range of 0.95 ~ 0.97.Method 1 and method 2 were used to measure the cross-sectional area of supraspinatus muscle for two days. The consistency limit of cross sectional area of supraspinatus muscle was about 卤0.5 cm ~ 2 and 卤0.5 cm ~ 2 respectively.Conclusion: these two methods are reliable in measuring the cross-sectional area of supraspinatus muscle.The two methods can detect the change of cross sectional area of supraspinatus muscle sensitively, and the two methods have good consistency and can be used instead of each other.To provide a reliable and convenient imaging choice for clinical diagnosis of supraspinatus muscle disease.
【学位授予单位】：广西医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R445.1;R68

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