MSKUS检查对于脑梗后肩周软组织损伤的诊治价值

本文探讨肌骨超声(MSKUS)在诊断脑梗死后并发肩周软组织损伤及指导临床治疗中的价值。选取165例脑梗死后偏瘫并发肩周软组织损伤患者进行临床随机研究,超声指导组83例、常规组82例。经MSKUS检测分析,其中肱二头肌腱病变74例(44.85%)、肩袖病变117例(70.91%)、SA-SD病变48例(29.09%)、肩锁关节病变28例(16.97%);超声指导组在康复治疗2周、康复治疗8周时的VAS评分均显著低于常规组的(P<0.05);超声指导组在康复治疗2周、康复治疗8周时的肩关节前屈活动度、肩关节外展功能活动度均显著大于常规组的(P<0.05);超声指导组在康复治疗8周时的肩关节功能评分均显著大于常规组的(P<0.05)。MSKUS在诊断脑梗死后并发肩周软组织损伤及指导临床治疗中具有重要的价值。

The Value of MSKUS Examination for the Diagnosis and Treatment of Soft Tissue Injury Around the Shoulder After Cerebral Infarction

This paper discusses the value of musculoskeletal ultrasound(MSKUS) in the diagnosis of shoulder soft tissue injury after cerebral infarction and guiding clinical treatment. We selected 165 patients with hemiplegia after cerebral infarction and soft tissue injury around the shoulder who were admitted for clinical randomized study. There were 83 cases in the ultrasound guidance group and 82 cases in the routine group. According to MSKUS analysis, 74 cases(44.85%) of biceps tendinopathy, 117 cases(70.91%) of rotator cuff disease, 48 cases(29.09%) of SA-SD disease, 28 cases(16.97%) of acromioclavicular joint disease. The VAS scores of the ultrasound guidance group at 2 weeks of rehabilitation treatment and 8 weeks of rehabilitation treatment were lower than those of the conventional group(P<0.05);the ultrasound guidance group’s flexion motion of the shoulder joint at 2 weeks of rehabilitation treatment and 8 weeks of rehabilitation treatment 1. The degree of movement of shoulder joint abduction function was greater than that of the conventional group(P<0.05). The scores of shoulder joint function in the ultrasound-guided group at 8 weeks of rehabilitation were higher than those in the conventional group(P<0.05). MSKUS has important value in diagnosing the soft tissue injury of the shoulder after cerebral infarction and guiding clinical treatment.