高频超声对肘部囊肿的诊断价值与介入治疗研究

Diagnostic value and interventional treatment of elbow cyst by high frequency ultrasound

目的:分析研究高频超声对肘部囊肿的诊断价值与介入治疗的价值。方法:回顾性分析自2018年2月至2021年2月采用高频超声下介入疗法治疗60例肘部囊肿患者的资料,男30例,女30例;年龄20~54(30.93±5.32)岁;病程1~10(3.45±0.25)年。观察所有患者高频超声表现特征,分析治疗后临床疗效、不良事件发生情况以及治疗前后心理状态变化情况。结果:60例肘部囊肿中,囊肿大小6 mm×7 mm~111 mm×60 mm。超声图像特点:多数形态规则,呈圆形或椭圆形,少数形态不规则;边界清晰,存在囊壁,大部分囊内透声较好,呈无回声;伴有出血或感染时,可见细小密集点漂浮;病程较长受试者囊壁较为毛糙,且内部可见光带分隔,呈多房样;未见显著血流信号。最终检查结果:尺骨鹰嘴滑囊囊肿19例,桡骨环状韧带囊肿10例,肱二头肌桡骨囊囊肿9例,副韧带损伤囊肿7例,肘部表皮样囊肿4例,腱鞘囊肿6例,神经鞘囊肿5例。治疗后,痊愈33例,显效16例,好转11例,无效0例。治疗后发生轻度不良事件1例,中度不良事件1例,重度不良事件0例。治疗后患者正性情绪评分(38.04±1.74)分,高于治疗前的(35.92±2.34)分(P<0.05);而负性情绪评分(24.61±1.51)分,低于治疗前的(30.15±3.46)分(P<0.05)。结论:高频超声对肘部囊肿的诊断价值较高,应用于介入治疗中的效果较为理想。

Objective To study and analyze the diagnostic value and interventional treatment value of high-frequency ultrasound for elbow cyst.Methods From February 2018 to February 2021,the data of 60 patients with elbow cyst treated by high-frequency ultrasound interventional therapy were retrospectively analyzed,including 30 males and 30 females with an average age of(30.93±5.32)years old ranging from 20 to 54 years old.The course of disease ranged from 1 to 10 years with an average of(3.45±0.25)years.High-frequency ultrasound features of all patients were analyzed.The clinical efficacy,the occurrence of adverse events and the changes of psychological status before and after treatment were analyzed.Results In 60 cases of elbow cyst,the cyst size was from 6 mm×7 mm to 111 mm×60 mm.The characteristics of ultrasonic images included such as most of the morphology was regular,which was round or oval,and a few were irregular;the boundary was clear,there was a capsule wall,most of the inside of the capsule was good,no echo;when accompanied by bleeding or infection,small dense points can be seen floating;the cystic wall of the patients with long course of disease was coarser,and the internal light bands were separated,showing multilocular shape;no significant blood flow signal was observed.Final results involved olecranon bursa cysts in 19 cases,annular ligament cysts in 10 cases,radial bursa cysts in 9 cases,accessory ligament cysts in 7 cases,epidermoid cysts in 4 cases,ganglion cysts in 6 cases,nerve sheath cysts in 5 cases.After treatment,33 cases were cured,16 cases had obvious effect,11 cases were improved,0 cases were invalid.After treatment,mild adverse events occurred in 1 case,moderate adverse events in 1 case,and severe adverse events in 0 cases,with a total incidence of 3.33%(2/60).After treatment,positive affect score(38.04±1.74)was higher than that before treatment(35.92±2.34),and negative affect score(24.61±1.51)was lower than that before treatment(30.15±3.46),with statistical significance(P<0.05).Conclusion High-frequency ultrasound has high diagnostic value for elbow cyst,and it has ideal effect in interventional therapy.