魏亦兵 周建伟 张志玉 黄煌渊 杨永明 上海医科大学附属华山医院 魏亦兵 周建伟 张志玉 黄煌渊 骨科；杨永明 超声波室,上海 200040 临床骨科杂志 1999 0 2 4


    关键词：超声检查； 肩；软组织损伤 期刊 lcgkzz 0 诊疗经验 fur -->


    

【摘要】 目的 研究超声显像在肩周软组织损伤中的诊断价值。方法 对7例(7肩)肩周痛患者进行超声检查，并以健侧作为对照。结果 图像显示，急性损伤时肌腱组织内水肿，肌腱回声减低；慢性损伤时肌腱内回声杂乱，光点增粗增强，并可伴有钙化。7例B超诊断分别是肱二头肌长头腱炎、肱二头肌长头腱腱鞘积液、冈上肌腱炎、三角肌下滑囊炎、冈下肌腱炎、腱鞘积液等。结论 B超可以对肩周软组织损伤作出定位定性诊断,为临床诊治提供客观依据。

    【中图分类号】 R445.1;R686.1

Diagnosis of soft tissueinjuries around shoulder by B-type ultrasonographic

Wei Yibing，Zhou Jianwei，Zhang Zhiyu,Huang Huangyuan,Yang Yongming

(Department of Orthopaedics,Huashan Hospital, Shanghai Medical University, Shanghai 200040)

【Abstract】 Objective To evaluate value of sonographic diagnosis for soft tissueinjuries around shoulder. Methods 7 patients (7 shoulders) with shoulder pain wereinvestigated. The healthy shoulder was used as control. Results The sonographic imagingrevealed hypoechoic in acute-injuried edematous tendons and heterogenous hyper-echoic in chronic-injuried tendons,respectively. The latter might have calcification in thetendons.Sonography showed tendinitis of long head of biceps brachii,thecal hydrops of longhead of biceps brachii, tendinitis of supraspinatus muscle, subdeltoid or subacromialbursitis, tendinitis and thecal hydrops of infra-spinatus muscle. Conclusion Sonographic examination can beperformed as bilateral exmination in sitting position. It is worthwhile to recommend thesonographic exmination as the first choice of supplemental tests to diagnose the shoulderdiseases,especially the soft-tissue injuries.

     ......