| 摘要: |
| 目的：探索超声能量多普勒与弹性成像对冈上肌肌腱炎的诊断及与预后的相关性。方法：回顾性分析在2018年5月至2020年10月期间选取的70例健康体检者(对照组)、72例冈上肌肌腱炎患者(观察组),均进行超声检查,分析观察组患者患侧、健侧超声声像图表现,启动超声能量多普勒、弹性成像模式,比较两组受检者剪切模量值、SWV值、血流信号分级、弹性超声分级,用ROC曲线分析各项数值对冈上肌肌腱炎及预后的预测价值,并用Spearman法分析各项参数与预后的相关性。结果：观察组患者患侧的血流增多率、回声杂乱率、内部钙化点率、回声不均率均高于健侧(P＜0.05)。观察组SWV值、剪切模量值、血流信号分级、弹性超声分级高于对照组(P＜0.05),经ROC曲线分析,SWV值、剪切模量值、弹性超声分级、血流信号分级及四项联合早期预测冈上肌肌腱炎的AUC分别为0.932、0.917、0.905、0.921、0.996。同时预后良好组血流信号分级、弹性超声分级、剪切模量值、SWV值低于预后不佳组(P＜0.05),经ROC曲线分析,SWV值、剪切模量值、弹性超声分级、血流信号分级及四项联合早期预测预后情况的AUC分别为0.881、0.922、0.914、0.914、0.995,经Spearman法分析,预后情况与SWV值、剪切模量值、血流信号分级、弹性超声分级呈正相关性。结论：超声能量多普勒联合弹性成像可预测冈上肌肌腱炎发生、发展、预后情况。 |
| 关键词: 超声能量多普勒 弹性成像 冈上肌肌腱炎 诊断 预后 相关性 |
| DOI： |
| 投稿时间：2021-08-11修订日期：2021-08-23 |
| 基金项目: |
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| Diagnosis of supraspinatus myositis by ultrasonic power Doppler and elasticity and correlation analysis with visual acuity |
| Hupeijun,Huang Liya,Hu Fenglian,Zhu Ling |
| () |
| Abstract: |
| Objective: To explore the diagnosis and prognosis of supraspinatus tendinitis by ultrasound power Doppler and elastography. Methods: A retrospective analysis of 70 healthy subjects (control group) and 72 patients with supraspinatus tendinitis (observation group) selected from May 2018 to October 2020, all underwent ultrasound examination, and analyzed the affected side of the observation group , Ultrasound imaging performance of the contralateral side, start the ultrasonic energy Doppler, elastography mode, compare the shear modulus value, SWV value, blood flow signal classification, elastic ultrasound classification of the two groups of subjects, and analyze each item with ROC curve Predictive value of numerical value for supraspinatus tendinitis and prognosis, and Spearman method is used to analyze the correlation between various parameters and prognosis. Results: The blood flow increase rate, echo disorder rate, internal calcification rate, and echo uneven rate of the affected side of the patient were higher than those of the healthy side (P<0.05). The SWV value, shear modulus value, blood flow signal classification, and elastic ultrasound classification of the observation group were higher than those of the control group (P＜0.05). After ROC curve analysis, the SWV value, shear modulus value, elastic ultrasound classification, and blood flow signal The AUC of grade and four combined early prediction of supraspinatus tendinitis were 0.932, 0.917, 0.905, 0.921, 0.996, respectively. At the same time, the blood flow signal classification, elastic ultrasound classification, shear modulus value, and SWV value of the good prognosis group are lower than those of the poor prognosis group (P<0.05). After ROC curve analysis, SWV value, shear modulus value, elastic ultrasound The AUC of classification, blood flow signal classification and the four combined early prediction of prognosis were 0.881, 0.922, 0.914, 0.914, 0.995, respectively. After analysis by Spearman method, the prognosis was related to SWV value, shear modulus value, blood flow signal classification, The grading of elastic ultrasound was positively correlated. Conclusion: Ultrasound power Doppler combined with elastography can predict the occurrence, development and prognosis of supraspinatus tendinitis. |
| Key words: : ultrasound power Doppler elastography supraspinatus tendinitis diagnosis prognosis correlation |
