剪切波弹性成像与超声造影评估腰椎间盘突出症患者臀中肌疼痛的价值

Value of Shear Wave Elastography and Contrast-Enhanced Ultrasound on Assessing Gluteus Medius Muscle Pain in Patients with Lumbar Disc Herniation

目的:探讨剪切波弹性成像(SWE)与超声造影(CEUS)评估腰椎间盘突出症(LDH)患者臀中肌疼痛的价值。方法:选取2019年9月—2021年12月中国人民解放军联勤保障部队第九六七医院收治的41例单侧LDH伴同侧臀中肌疼痛患者作为研究对象,均进行双侧CEUS及SWE检查。比较患侧与健侧臀中肌肌肉厚度、剪切波速度(SWV)、峰值强度(PEAK)、曲线下面积(AUC)、达峰时间(TP)、平均渡越时间(MTT)。结果:患侧肌肉厚度、TP、MTT比较,差异无统计学意义(P>0.05);患侧SWV高于健侧,PEAK、AUC小于健侧,差异有统计学意义(P<0.05)。结论:SWE与CEUS评估LDH患者臀中肌疼痛的价值显著,可定量分析臀中肌硬度及微循环灌注。

Objective:The explore the value of shear wave elastography(SWE)and contrast-enhanced ultrasound(CEUS)for assessing the gluteus medius muscle pain in patients with lumbar disc herniation(LDH).Methods:A total of 41 patients with unilateral LDH accompanied by ipsilateral gluteus medius muscle pain who were admitted to No.967 Hospital of Chinese PLA Joint Logistic Support Force from September 2019 to December 2021 were selected as the study subjects.All patient underwent bilateral CEUS and SWE examinations.The thickness of gluteus medius muscle,shear wave velocity(SWV),peak intensity(PEAK),area under the curve(AUC),time to peak(TP),and mean time to transition(MTT)were compared between the affected side and the healthy side.Results:There were no significant differences in muscle thickness,TP and MTT at the affected side(P>0.05).SWV at the affected side was higher than that at the healthy side,and PEAK and AUC at the affected side were smaller than those at the healthy side,and the difference was statistically significant(P<0.05).Conclusion:SWE and CEUS have significant value in assessing gluteus medius muscle pain in LDH patients,and can quantitatively analyze gluteus medius muscle stiffness and microcirculatory perfusion.