高频超声在复合性区域疼痛综合征患者肱二头肌长头肌腱及.PDFVIP

中国康复理论与实践2017年4月第23卷第4期 ChinJRehabilTheoryPract,Apr.,2017,Vol.23,No.4 - 442 - DOI: 10.3969/j.issn. 1006-9771.2017.04.017 ·临床研究 · 高频超声在复合性区域疼痛综合征患者肱二头肌长头肌腱及 肱骨结节间沟的临床应用① 杨阳，李晓华，阿曼古力⋅拜哈提 [摘要] 目的 探讨高频超声对偏瘫继发复合性区域疼痛综合征患者肱二头肌长头肌腱、肱骨结节间沟在病程变化检测中的临 床应用。方法 2013 年2 月至2015 年10月，对本院55 例偏瘫继发复合性区域疼痛综合征患者健、患侧肩部肱二头肌长头肌腱厚 度、横截面积以及肱骨结节间沟宽度、深度进行测量，并随着临床分期进展进行对照研究。结果 健侧与患侧相比，肱二头肌长 头肌腱的厚度、横截面积以及结节间沟的宽度、深度在 Ⅰ期无显著性差异(P0.05) ，在Ⅱ期、Ⅲ期时患侧均小于健侧(t2.055, P 0.05) 。结论 高频超声能清晰显示偏瘫继发复合性区域疼痛综合征患者的肱二头肌长头肌腱、肱骨结节间沟，并检测到二者在形 态学上的变化，可以为康复治疗提供指导。 [关键词] 偏瘫；复合性区域疼痛综合征；高频超声；肱二头肌长头肌腱；肱骨结节间沟 Clinical Application of High-frequency Ultrasound in Long Head of Biceps Tendon and Bicipital Groove in Pa- tients with Complex Regional Pain Syndrome YANG Yang, LI Xiao-hua, Amanguli BAIHATI Hot Spring Branch, The Fourth Peoples Hospital, Urumqi, Xinjiang 830017, China Correspondence to YANG Yang. E-mail: 1305954367@ Abstract: Objective To evaluate the application of high-frequency ultrasound in the detection of long head of biceps tendon and bicipi- tal groove in patients with hemiplegia-secondary complex regional pain syndrome. Methods From February, 2013 to October, 2015, 55 pa- tients with hemiplegia-secondary complex regional pain syndrome were enrolled. The thickness and cross-sectional area of long head of bi- ceps tendon, and the width and depth of bicipital groove in healthy and affected sides were measured and analyzed comparatively with the clinical stages. Results The thickness and cross-sectional area of long head of biceps tendon became thin and reduced significantly, and the width and depth of bicipital groove became narrow and shallow in the affected sides at stages II and III (t2.055, P0.05); while no signifi- cant difference was found between two sides at stage I (P0