中国组织工程研究 ›› 2019, Vol. 23 ›› Issue (16): 2573-2578.doi: 10.3969/j.issn.2095-4344.1167

• 骨与关节综述 bone and joint review • 上一篇    下一篇

肌肉骨骼超声技术在骨科诊断治疗中的应用现状及机制

周雪添1,马  勇2,3,郭 杨3,司誉豪3,宗永刚1,仲 超1   

  1. 1扬州大学医学院,江苏省扬州市 225001;2扬州市中医院骨伤科,江苏省扬州市 225009;3南京中医药大学,江苏省南京市 210023
  • 出版日期:2019-06-08 发布日期:2019-06-08
  • 通讯作者: 马勇,教授,主任中医师,博士生导师,扬州市中医院骨伤科,江苏省扬州市 225009;南京中医药大学,江苏省南京市 210023
  • 作者简介:周雪添,男,1993年生,湖北省襄阳市人,汉族,扬州大学在读硕士,主要从事骨科临床肌肉骨骼超声的相关研究。
  • 基金资助:

    国家自然科学基金面上项目(81673995),项目负责人:马勇|江苏省自然科学基金青年基金项目(BK20151007),项目负责人:郭杨

Application status and mechanism of musculoskeletal ultrasound in orthopedic diagnosis  

Zhou Xuetian1, Ma Yong2, 3, Guo Yang3, Si Yuhao3, Zong Yonggang1, Zhong Chao1   

  1. 1Medical College of Yangzhou University, Yangzhou 225001, Jiangsu Province, China; 2Department of Orthopedics, Yangzhou Municipal Hospital of Traditional Chinese Medicine, Yangzhou 225009, Jiangsu Province, China; 3Nanjing University of Chinese Medicine, Nanjing 210023, Jiangsu Province, China
  • Online:2019-06-08 Published:2019-06-08
  • Contact: Ma Yong, Professor, Chief physician, Doctoral supervisor, Department of Orthopedics, Yangzhou Municipal Hospital of Traditional Chinese Medicine, Yangzhou 225009, Jiangsu Province, China; Nanjing University of Chinese Medicine, Nanjing 210023, Jiangsu Province, China
  • About author:Zhou Xuetian, Master candidate, Medical College of Yangzhou University, Yangzhou 225001, Jiangsu Province, China
  • Supported by:

    the National Natural Science Foundation of China (General Program), No. 81673995 (to MY)| the Natural Science Foundation for the Youth of Jiangsu Province, No. BK20151007 (to GY)

摘要:

文章快速阅读:

 

 

文题释义:
肌骨超声:在骨科的临床诊断中,肌骨超声不但可以提高诊断符合率,而且从其派生出来的介入治疗和其引导下兴起的微创手术技术都推动了现代骨科的发展。虽然有研究证实在骨关节整体状态的检查和评估中,超声手段的应用仍有所局限,与MRI以及CT等影像学技术相比仍有不足。但无法忽视肌骨超声分辨率高、简便廉价、无辐射,能够对肌肉、肌腱、关节的运动及一些介入治疗手段进行实时动态观察的独特优势。
疲劳性骨折:是由于长期阈下应力作用于骨骼,导致局部骨小梁不断受损最终发生骨折,病情早期X射线较难发现,CT、MRI虽有较高灵敏度,但价格昂贵,且疲劳性骨折早期多无明显症状,不易重视,无法将MRI作为该病的常规检查。肌骨超声可通过骨痂变化和血流灌注情况,作为该病筛查、检测的常规检查。
 
摘要
背景:随着肌肉骨骼超声技术(以下简称肌骨超声)的成熟,其在骨科诊断的应用越来越广泛。
目的:回顾分析近年来肌骨超声在肌肉与肌腱、骨与软骨、关节、神经等疾病诊断中的应用现状,阐述其原理及优缺点。
方法:第一作者以“肌肉骨骼超声,骨科”为中文检索词,以“Musculoskeletal ultrasound,Orthopedics”为英文检索词,采用计算机检索中国知网数据库(CNKI)和PubMed数据库、Elsevier数据库2013至2018年的相关文章,筛选有关肌骨超声在骨科诊断中的应用文章44篇进行讨论、综述。
结果与结论:①肌骨超声在诊断肌肉、肌腱、筋膜等软组织疾病,以及排查隐匿性骨折、早期各类关节炎等骨与关节疾病时,因其简便价廉,灵敏度高,无辐射的优点,优于MRI和CT;②同时由于其可动态分析肌肉、骨骼等运动情况,观察外周神经变化,可作为术后判断功能恢复及外周神经损伤的首选检查;③在未来将肌骨超声用于诊断延迟性肌肉酸痛和量化肌腱异常从而探究肌腱损伤病因将是新的研究方向。

中国组织工程研究杂志出版内容重点:人工关节;骨植入物;脊柱骨折;内固定;数字化骨科;组织工程
ORCID: 0000-0002-4779-2709(周雪添)

关键词: 肌骨超声, 骨科, 诊断, 肌肉与肌腱, 筋膜, 软组织疾病, 隐匿性骨折, 骨与软骨, 国家自然科学基金

Abstract:

BACKGROUND: With the maturation of musculoskeletal ultrasound, it is widely used in orthopedic diagnosis.

OBJECTIVE: To review the application status of musculoskeletal ultrasound in the diagnosis of muscle and tendon, bone and cartilage, joint and nerve in recent years, and to explain its principle, advantages and disadvantages.
METHODS: “Musculoskeletal ultrasound, orthopedics” in Chinese and English, respectively were as keywords to retrieve in CNKI, PubMed databases, and Elsevier databases for the articles published from 2013 to 2018. Forty-four articles about the application of musculoskeletal ultrasound in orthopedic diagnosis were reviewed.
RESULTS AND CONCLUSION: (1) In the diagnosis of soft tissue diseases such as muscle, tendon, fascia and other soft tissue diseases, as well as in the examination of occult fractures, early arthritis and other diseases of bone and joint, musculoskeletal ultrasound is superior to MRI and CT, because it is simple, cheap, has high sensitivity and no radiation. (2) It can be used as the first choice to judge the recovery of function and the injury of peripheral nerve after operation because it can dynamically analyze the movement of muscles and bones and observe the changes of peripheral nerve. (3) In the future, the application of musculoskeletal ultrasound in the diagnosis of delayed muscle soreness and quantification of tendon abnormalities will be a new research direction.

Key words: musculoskeletal ultrasound, orthopedics, diagnosis, muscles and tendon, fascia, soft tissue diseases, occult fractures, bone and cartilage, the National Natural Science Foundation of China

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