《中国康复理论与实践》 ›› 2021, Vol. 27 ›› Issue (7): 791-796.doi: 10.3969/j.issn.1006-9771.2021.07.009
陈明珍1a,姜凡1a(),单永1a,洪永锋1b,刘学1a,肖洪波2,陈瑞全2
收稿日期:
2020-11-16
修回日期:
2021-06-02
出版日期:
2021-07-25
发布日期:
2021-07-28
通讯作者:
姜凡
E-mail:ahultrasound2005@126.com
作者简介:
陈明珍(1994-),女,汉族,安徽淮北市人,硕士研究生,主要研究方向:肌骨超声。|姜凡(1964-),女,汉族,安徽合肥市人,副教授、主任医师,主要研究方向:肌骨超声、妇产超声。
CHEN Ming-zhen1a,JIANG Fan1a(),SHAN Yong1a,HONG Yong-feng1b,LIU Xue1a,XIAO Hong-bo2,CHEN Rui-quan2
Received:
2020-11-16
Revised:
2021-06-02
Published:
2021-07-25
Online:
2021-07-28
Contact:
JIANG Fan
E-mail:ahultrasound2005@126.com
摘要:
目的 探讨多模态超声成像在量化评估脑卒中偏瘫患者肌肉痉挛中的应用。
方法 2019年3月至9月,本院脑卒中下肢偏瘫患者44例为试验组,同期健康体检者46例为对照组,对试验组健侧、患侧及对照组右侧腓肠肌内侧头同一位置行二维灰阶超声、剪切波弹性成像和超微血管成像超声检查,记录剪切波速度(SWV)、血流信号值、羽状角(PA)、肌肉厚度(MT)、肌纤维长度(FL)。
结果 试验组患侧SWV明显高于健侧和对照组(t > 6.346, P < 0.01)。静息状态下,试验组患侧FL较健侧和对照组明显缩短(|t| > 6.235, P < 0.01),MT和PA与健侧有显著性差异(|t| > 2.198, P < 0.05);血流信号值低于对照组(t = 2.604, P < 0.05);最大等长收缩状态下,FL缩短较健侧和对照组显著减小(Z > 6.703, P < 0.001)。
结论 超声成像技术能从肌肉结构、血流和硬度等方面定量评价脑卒中患者腓肠肌变化,可为痉挛的诊断和随访提供客观资料。
中图分类号:
陈明珍,姜凡,单永,洪永锋,刘学,肖洪波,陈瑞全. 多模态超声成像在脑卒中患者腓肠肌痉挛评估中的应用[J]. 《中国康复理论与实践》, 2021, 27(7): 791-796.
CHEN Ming-zhen,JIANG Fan,SHAN Yong,HONG Yong-feng,LIU Xue,XIAO Hong-bo,CHEN Rui-quan. Measurement of Structure and Stiffness of Gastrocnemius Muscle for Stroke Patients with Multimodal Ultrasound Imaging[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(7): 791-796.
表2
两组静息状态下腓肠肌超声参数比较"
组别 | n | FL(mm) | MT(mm) | PA(°) | SWV(m/s) | SMI(%) |
---|---|---|---|---|---|---|
对照组 | 46 | 48.05±2.15 | 13.75±2.68 | 13.07±3.23 | 2.69±0.40 | 7.49±2.11 |
试验组健侧 | 44 | 47.69±3.31 | 11.14±2.55 | 12.02±2.93 | 2.72±0.56 | |
试验组患侧 | 44 | 43.22±3.40 | 12.25±2.21 | 14.64±3.18 | 3.70±0.85 | 6.28±2.31 |
t1值 | -6.235 | 2.198 | 4.006 | 6.346 | ||
P1值 | < 0.001 | 0.031 | <0.001 | < 0.001 | ||
t2值 | -8.073 | -2.881 | 2.326 | 7.119 | 2.604 | |
P2值 | < 0.001 | 0.005 | 0.022 | < 0.001 | 0.011 |
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