摘要
目的探讨常规超声联合超声弹性成像在小儿先天性肌性斜颈诊断及鉴别诊断中的临床应用价值。方法选取2014年3月—2016年8月广西医科大学第一附属医院怀疑先天性肌性斜颈患儿63例,所有患儿均行常规超声及超声弹性成像检查,与最终临床诊断进行对比分析,评估在小儿先天性肌性斜颈诊断及鉴别诊断中常规超声联合超声弹性成像的临床应用价值。结果共收集63例可疑患儿,其中先天性肌性斜颈40例,非先天性肌性斜颈23例。先天性肌性斜颈常规超声声像图表现为患侧胸锁乳突肌局部增厚,内部肌纤维紊乱,超声弹性成像以蓝色为主;或表现为团块状回声,超声弹性成像为绿色与蓝色夹杂分布,其比例不一。患侧与健侧正常胸锁乳突肌相比常规超声及超声弹性成像均有显著差异。结论常规超声联合超声弹性成像在小儿先天性肌性斜颈诊断及鉴别诊断中有较高的临床应用价值,可作为临床筛查小儿先天性肌性斜颈的首选检查手段。
Objective To explore the clinical application value of conventional ultrasound combined with ultrasonic elastography(UE)in diagnosis and differential diagnosis of infants with congenital muscular torticollis(CMT). Methods Sixty-three infants who were suspected as congenital muscular torticollis were selected from the First Affiliated Hospital of Guangxi Medical University from March 2014 to August 2016,and all children underwent conventional ultrasonography and UE examination.The imaging diagnosis was analyzed and compared with the final clinical diagnosis for evaluating the clinical application value of conventional ultrasound combined with ultrasonic elastography(UE)in diagnosis and differential diagnosis of children with congenital muscular torticollis(CMT). Results Sixty-three suspicious infants were collected,including 40 cases of congenital muscular torticollis and 23 cases of non-congenital muscular torticollis.The conventional ultrasound images of CMT infants showed that their sternocleidomastoid muscles thickened,internal muscle fiber was disordered,the ultrasound elastography image colors of CMT infants were mainly blue;the conventional ultrasound images of CMT infants showed maybe as a lumpy echo,the ultrasound elastography image colors of CMT patients showed green and blue mixed distribution with varying proportions.Comparing the images of diseased sternocleidomastoid muscles from infants with CMT presented on both conventional ultrasound and sonoelastography with the images of normal sternocleidomastoid muscles on both conventional ultrasound and sonoelastography showed significant differences. Conclusion Conventional ultrasound combined with ultrasonic elastography has high clinical application value in diagnosis and differential diagnosis of infants with congenital muscular torticollis,which can be used as the first choice method in screening CMT.
作者
卢露
闫雪
廖新红
韦丽艳
邝献宝
Lu Lu;Yan Xue;Liao Xinhong;Wei Liyan;Kuang Xianbao(Department of Ultrasound,First Affiliated Hospital of Guangxi Medical University,Nanning 530021,Guangxi,China)
出处
《右江民族医学院学报》
2018年第1期62-64,共3页
Journal of Youjiang Medical University for Nationalities
基金
广西卫计委自筹经费课题(Z2014038)
关键词
斜颈
超声检查
婴儿
弹性成像技术
torticollis
ultrasonography
infant
elasticity imaging techniques
