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使用剪切波弹性学对正常的脊上肌肉的前性评估:与有症状的肌撕裂进行比较
Jeung Yeol Jeong1, Eun Kyung Khil2,3, Woorim Seo2
1Department of Orthopedic Surgery, Hallym University Dongtan Sacred Heart Hospital, Hwaseong-si, Republic of Korea.
剪切波弹性图 (SWE) 客观地测量上 (SS) 肌肉的弹性,在无症状肌肉中发现较低的值,与撕裂肌肉相比. 性别影响弹性比率,男性显示较高的值.
科学领域:
- 肌肉骨超声波 肌肉骨超声波
- 类风湿病学 类风湿病学
- 整形外科手术 整形外科手术
背景情况:
- 上 (SS) 肌撕裂是常见的肩膀损伤.
- 评估SS肌肉弹性对于理解肩部病理至关重要.
- 剪波弹性图 (SWE) 提供了一种非侵入性方法来评估组织硬度.
研究的目的:
- 在无症状个体中使用剪切波弹性学 (SWE) 评估正常的上 (SS) 肌肉弹性.
- 分析SS肌肉弹性与人口因素之间的相关性,以及超声波 (美国) 灰度等级.
- 为了比较正常的SS肌肉的弹性与受肌撕裂影响的症状性SS肌肉的弹性.
主要方法:
- 这是一项前性研究,涉及101名成人患者,他们接受了针对逆侧SS肌撕裂的手术.
- 无症状和有症状的肩膀都接受了超声波 (US) 检查,包括SWE.
- 分析SWE值 (平均值,中位数,弹性比) 与人口统计和灰度等级的相关性,并对正常和症状组进行比较.
主要成果:
- 正常的SS肌肉平均SWE模量为27.87kPa,弹性比约为1.52.
- 男性的弹性比率略高于女性 (1.61对1.45,P=.016).
- 与肌撕裂 (P<.001) 的肌肉相比,无症状的SS肌肉中SWE值明显较低 (P<.001).
结论:
- 剪切波弹性图 (SWE) 提供了对正常上 (SS) 肌肉弹性的客观和可靠的测量.
- 观察到弹性比率的基于性别的变化,男性显示较高的值.
- 与肌撕裂肌肉相比,无症状的SS肌肉的弹性明显较低,突出显示了SWE的诊断潜力.
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