Diagnosis of Waist Muscle Injury after Exercise Based on High-Frequency Ultrasound Image.

Diagnosis of Waist Muscle Injury after Exercise Based on High-Frequency Ultrasound Image.
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DOI:
10.1155/2021/5528309
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发表时间:
2021
影响因子:
--
通讯作者:
Wang B
Wang B
中科院分区:
医学4区
文献类型:
--
作者:
Wang B

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下背部是人体躯干的承重部位,解剖结构复杂,病变多样。传统的影像学诊断方法包括X线、CT和磁共振成像(MRI)。随着超声诊断仪器和诊断技术的迅速发展,高频超声凭借其安全、无创、价廉、可在短时间内重复、实时成像等优点,尤其是对软组织精细结构的显示,优于CT和MRI等上级技术,在骨骼肌疾病的诊断中发挥着越来越重要的作用。在超声监视下,将穿刺针在椎间孔附近穿刺,注射消炎镇痛药。抗炎镇痛药物主要包括局麻药和糖皮质激素类药物。局麻药可立即阻断病变神经的伤害性传递,改善肌张力,消除肌肉痉挛,糖皮质激素可有效消除腰神经根及其周围组织的水肿和炎症。结果表明,高频超声作为一种无创性的影像学检查,能清晰显示下背部皮肤、浅筋膜、深筋膜、肌肉的结构和空间层次,能提供实时动态的双侧对比观察,可作为下背部软组织病变的首选影像学检查方法,并能弥补普通X线、CT、和磁共振成像,以提供更丰富的临床诊断和治疗。它可以为临床诊断和治疗提供更丰富的影像学信息。
The low back is the weight-bearing part of the human trunk and has a complex anatomy with a variety of lesions. The traditional diagnostic imaging methods include X-ray, CT, and magnetic resonance imaging (MRI). With the rapid development of ultrasound diagnostic instruments and diagnostic techniques, high-frequency ultrasonography plays a more important role in the diagnosis of musculoskeletal disorders by virtue of its advantages of being safe, noninvasive, inexpensive, repeatable in a short period of time, and real-time imaging, especially for the display of fine structures of soft tissues, which is superior to CT and MRI. In this paper, the puncture needle was punctured near the intervertebral foramen, anti-inflammatory analgesics were injected under ultrasound surveillance. The anti-inflammatory and analgesic drugs mainly consist of local anesthetics and glucocorticoids. Local anesthetics can immediately block the nociceptive transmission of the diseased nerve, improve muscle tension, and eliminate muscle spasm, and glucocorticoids can effectively eliminate edema and inflammation of the lumbar nerve root and its surrounding tissues. The results showed that high-frequency ultrasound, as a noninvasive imaging examination, can clearly display the structure and spatial hierarchy of the skin, superficial fascia, deep fascia, and muscles of the low back, can provide real-time dynamic bilateral contrast observation, which can be the preferred imaging examination method for soft tissue disorders of the low back, and can compensate with general X-ray, CT, and magnetic resonance imaging to provide richer clinical diagnosis and treatment. It can provide richer imaging information for clinical diagnosis and treatment.
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