在患有肩部阻塞综合征的患者中超声评估的诊断影响
Yiting Du1, Zhengtao Wang1, Tao Zhang1
1Department of Rehabilitation, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, Taiyuan, China.
概括
肌肉骨超声波测量,包括下囊 (SAB) 厚度和上肌 (SUP) 厚度,有效诊断肩部撞击综合征 (SIS). 特定的指标,如角腹距离 (AHD) 比率 (AHD%) 显示出SIS的高诊断价值.
科学领域:
- 整形外科 整形外科 整形外科
- 放射学 放射学是一门学科.
- 诊断成像 诊断成像 诊断成像
背景情况:
- 肩部阻塞综合征 (SIS) 是肩部疼痛的常见原因之一.
- 准确的SIS诊断对于有效的治疗至关重要.
- 肌肉骨超声波是评估肩部病理的一个有价值的工具.
研究的目的:
- 评估SIS患者特定肌肉骨超声波测量的诊断效用.
- 为了确定SIS中Subacromial bursa (SAB) 厚度,Supraspinatus肌 (SUP) 厚度,Acromiohumeral距离 (AHD) 和SUP-to-AHD比率 (AHD%) 之间的关系.
- 为了确定超声波参数,可以帮助SIS的差异诊断.
主要方法:
- 进行了一项前性,横截面的观察性研究.
- 包括30名被诊断患有SIS的患者 (60个肩膀).
- 肌肉骨超声波用于测量SAB厚度,SUP厚度,AHD,并计算AHD% (SUP/AHD*100%).
主要成果:
- 与未受影响的肩膀相比,受影响的肩膀显示出明显更厚的SUP和SAB,更窄的AHD和更大的AHD% (P < .05).
- 在受影响的肩膀中,SUP厚度与AHD和AHD%正相关 (P < .05).
- 综合度量 AHD*AHD% 显示出最高的诊断性能 (AUC: 0.877).
结论:
- SIS可能与增加的AHD%和加厚的SUP相关.
- 已确定的AHD% (65.6%) 和AHD*AHD% (0.504) 的切割值提供了良好的灵敏度和特异性.
- 这些超声波衍生的指标可以增强肩部冲击综合征的差异诊断.
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