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超声在肩关节疾病诊疗中的研究进展

Research progress of ultrasound in diagnosis and treatment of shoulder joint diseases
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摘要 目的对超声在肩关节疾病诊疗中的研究进展进行综述,以期为超声技术在肩关节外科的进一步开展提供理论依据。方法广泛查阅近年超声在肩关节领域应用的相关文献,从其在肩关节疾病诊疗中的应用、超声技术的优缺点等方面进行分析,展望超声技术在肩关节领域的发展趋势。结果目前肩关节疾病的诊断主要依靠MRI,但随着超声技术的发展,具有便捷、可靠、可实时动态评估等特点的超声在肩关节疾病诊断过程中逐渐受到认可,结合三维超声、超声介入、弹性成像等能够提高肩关节疾病诊断的准确性、敏感性和特异性,适用于各类肩关节疾病的诊疗,有望在未来开展肩关节疾病的早期预防,实现更精细化、微创化的治疗。结论超声技术在肩关节疾病领域具有广泛应用前景,但目前尚处于发展阶段,需要进一步解决主观依赖性等问题。 Objective To review the research progress of ultrasound in the diagnosis and treatment of shoulder diseases,in order to provide a theoretical basis for the further development of ultrasound in shoulder surgery.Methods The recent literature on the application of ultrasound in the shoulder joint was extensively reviewed.The application of ultrasound in the diagnosis and treatment of shoulder joint diseases,and the advantages and disadvantages of ultrasound were analysed,and the development trend of ultrasound technology in the shoulder joint area was prospected.Results At present,the diagnosis of shoulder joint diseases mainly relies on MRI,however,with the development of ultrasound technology,ultrasound with the characteristics of convenient,reliable,and real-time dynamic evaluation is more and more recognized in the diagnosis process of shoulder joint diseases,combined with threedimensional ultrasound,ultrasound intervention,and elastography can improve the accuracy,sensitivity,and specificity of the diagnosis,and is suitable for the diagnosis and treatment of various shoulder joint diseases,which is expected to carry out early prevention of shoulder joint diseases in the future and achieve more refined and minimally invasive treatment.Conclusion Ultrasound technology has wide application prospect in shoulder joint diseases,but it is still in the developing stage,and the subjective dependence needs to be solved further.
作者 谢雨欣 张强 XIE Yuxin;ZHANG Qiang(Chinese PLA Medical School,Beijing,100853,P.R.China;Department of Orthopedic Surgery,Chinese PLA General Hospital,Beijing,100853,P.R.China)
出处 《中国修复重建外科杂志》 CAS CSCD 北大核心 2024年第4期505-510,共6页 Chinese Journal of Reparative and Reconstructive Surgery
基金 首都卫生发展科研专项(2022-2-5051)。
关键词 超声 肩关节 肌骨超声 实时动态评估 Ultrasound shoulder joint musculoskeletal ultrasound real-time dynamic evaluation
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