高频超声对手腕部腱鞘炎的诊断价值

摘要

Objective:To explore the ultrasonic image characteristics and clinical diagnostic value of high frequency ultrasound in the diagnosis of wrist tenosynovitis.Methods:26 cases of wrist tenosynovitis patients were selected.They were given the high frequency ultrasound and follow-up and postoperative pathology.Results:In the stenosing tenosynovitis,tendon sheath was different degree of thickening,tendon was limited in tendon sheath for sliding,local blood flow signal was increased;in tuberculous tenosynovitis,the internal echo was no ganglion,irregular debris echo was visible,probe pressure visible content to move back and forth;we see the contents with moving back and forth with probe pressure;in suppurative tenosynovitis,bone cortex echo was fuzzy, part discontinuous change.Conclusion:High frequency ultrasound had important value in clinical diagnosis of wrist tenosynovitis.%目的:探讨高频超声检查手腕部腱鞘炎的超声图像特征及临床诊断价值.方法:收治手腕部腱鞘炎患者26例,行高频超声检查并进行随访及术后病理对照.结果:狭窄性腱鞘炎腱鞘不同程度增厚、肌腱在腱鞘内滑动受限,局部血流信号增多;结核性腱鞘炎腱鞘内无回声,可见不规则碎屑回声,探头压放可见内容物来回移动;化脓性腱鞘炎可见骨皮质回声模糊、部分连续性中断.结论:高频超声对手腕部腱鞘炎有重要的临床诊断价值.