肌骨超声检查在创伤性浅表软组织损伤中的临床应用探讨

The Clinical Application of Musculoskeletal Ultrasonography in Traumatic Superficial Soft Tissue Injury

目的:分析肌骨超声检查在创伤性浅表软组织损伤中的临床应用价值,为相关人员的研究工作提供参考资料。方法:选择2016年4月~2021年4月本院收治的出现创伤性浅表软组织损伤患者316例为研究样本。将病理检、手术结果视为诊断疾病的金标准。患者接受磁共振成像(MRI)检查以及肌骨超声检查。分析肌骨超声检查在创伤性浅表软组织损伤中的诊断价值。结果:MRI以及肌骨超声神经损伤、实性肿块、囊性肿块、肌腱损伤、韧带损伤、肌肉损伤检查精准度相比不存在统计学差异,P>0.05。MRI以及肌骨超声诊断半月板损伤诊断精准性相比,MRI诊断疾病精准性明显更高,P<0.05;肌骨超声检查诊断创伤浅表软组织损伤的阴性预测值为52%、阳性预测值为98%、特异性为85%、敏感性为88%。疾病诊断符合率达到了88%。结论:针对创伤性浅表软组织损伤患者来讲,使用肌骨超声诊断具有一定价值。该法可重复性强、无创,能实现动态化对比病灶。

Objective:To analyze the clinical application value of musculoskeletal ultrasonography in the treatment of traumatic superficial soft tissue injury,and to provide reference for the research work of related personnel.Methods:In this experiment,316 patients with traumatic superficial soft tissue injury admitted to our hospital from April 2016 to April 2021 were selected as study samples.The results of pathological examination and operation are regarded as the gold standard for diagnosing diseases.The patient underwent MRI and musculoskeletal ultrasound.To analyze the diagnostic value of musculoskeletal ultrasound in traumatic superficial soft tissue injury.Results:Compared with MRI and musculoskeletal ultrasound,there was no statistical difference in the accuracy of nerve injury,solid mass,cystic mass,tendon injury,ligament injury and muscle injury,P>0.05.Compared with MRI and musculoskeletal ultrasound in the diagnosis of meniscus injury,the accuracy of MRI in the diagnosis of disease was significantly higher,P<0.05.The negative predictive value,positive predictive value,specificity and sensitivity of musculoskeletal ultrasonography in the diagnosis of superficial soft tissue injury were 52%,98%,85%and 88%.The disease diagnosis coincidence rate reached 88 percent.Conclusion:Musculoskeletal ultrasonography is valuable in the diagnosis of patients with traumatic superficial soft tissue injury.The method is reproducible and non-invasive,and can achieve dynamic comparison of lesions.