摘要
目的：探讨高频超声在肢体肌疝中的诊断价值。方法回顾性分析2010年1月至2013年5月，中国人民解放军总医院收治的48例肌疝患者的发生部位及超声声像图表现。结果48例肌疝患者中，发生于单侧下肢36例（75．0％），双侧下肢同时发生肌疝者较为少见，仅4例（8．3％），发生于单侧上肢（包含手部）5例（10．4％），发生于其他部位3例（6．3％）。48例肌疝患者中最大的疝范围5．0 cm ＆#215;5．7 cm ＆#215;2．5 cm，最小的疝范围0．3 cm ＆#215;0．3 cm ＆#215;0．2 cm，其中肌筋膜中断的长度为0．3～5．7 cm。声像图表现可分为肌筋膜中断的肌疝和肌筋膜完整的肌疝。结论高频超声可以清楚的显示肌肉内组织结构、肌筋膜的回声及连续性等情况，同时具有无创、廉价、可重复性好、动态观察等优势，应作为肌疝诊断的首选检查，故对临床诊断肌疝具有非常重要的意义。
Objective To investigate the value of high-frequency ultrasound in the application of diagnosing myocele in extremities.Methods From January 201 1 to May 201 3,The ultrasonography appearances and presentation site of myocele in 48 patients were reviewed in General Hospital of PLA. Results Of all,36 cases were observed in the unilateral lower limb （75%）,4 cases of bilateral lower extremity muscle hernia,5 cases of unilateral upper extremity,and 3 cases of other sites.Among all the 48 cases,the maximum area of myocele was about 5.0 cm ＆#215;5.7 cm ＆#215;2.5 cm,and the minimum area was about 0.3 cm×0.3 cm×0.2 cm.The length of interrupt of muscular fasciae was 0.3 cm to 5.7 cm.All the cases can be divided into two groups according to ultrasonography：myocele with discontinuous muscular fasciae and myocele with intact muscular fasciae.Conclusions The high-frequency ultrasound is a non-invasive,cheap,and dynamic method with good reproducibility,which can clearly demonstrate the internal structure of muscular tissue,as well as the echo and discontinuity of muscular fasciae.The specificity of this method in diagnosing myocele is postive and owns great value in clinical diagnosis.
出处
《中华疝和腹壁外科杂志（电子版）》
2014年第2期10-12,共3页
Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)
关键词
疝
超声检查
诊断
Hernia
Ultrasonography
Diagnosis
