肌骨超声影像分析肩痛患者流行病学及影像学特点

摘要

Objective To investigate the epidemiologic characteristics and imaging features of shoulder pain in rehabilitation clinic based on musculoskeletal ultrasound imaging .Methods From June 1, 2016 to March1, 2017, all consecutively enrolled outpatients with shoulder pain underwent ultrasound imaging of the affected shoulder , and their clinical information were collected for Cross-sectional Analy-sis.Results Of 116 patients,22.4%were young patients, 44.0% middle aged ones and 33.6% old ones.The incidence of subacromial bursitis and supraspinatus tendinopathy was 65.7%and 58.2%, respectively.Compared with the young group , the incidence of subacromial bursitis (60.7%vs 32.1%;71.1% vs 32.1%) and acromioclavicular joint degeneration (36.1% vs 3.6%;37.8% vs 3.6%) were higher in the middle-old-aged group ( P<0.05 ) .Conclusions Musculoskeletal ultrasonic imaging is helpful for diagnosis of shoulder pain , and making individual diagnosis and treatment plan based on the characteristics of musculoskeletal ultrasonic imaging , which deserves to be popularized in clinical application .%目的 采用肌骨超声影像分析肩痛患者的流行病学及影像表现特点.方法 对2016年6月1日至2017年3月31日中山大学附属第三医院康复科门诊连续收治的肩痛患者进行肌骨超声检查,结合临床资料对患者的流行病学特点进行横断面分析.结果 共收集116例肩痛患者,其中青年、中年和老年患者各占22.4%、44.0%和33.6%.肩峰下滑囊炎和冈上肌肌腱病变的发病率分别为65.7%和58.2%.与青年组相比,中、老年组冈上肌腱病变(60.7%vs 32.1%;71.1%vs 32.1%)和肩锁关节退行性变(36.1%vs 3.6%;37.8%vs 3.6%)的发病率显著增高(P<0.05).结论 肌骨超声影像技术有助于明确肩痛诊断.