肌筋膜疼痛综合征的MRI诊断技术研究进展

Research progress in MRI diagnostic techniques for myofascial pain syndrome

肌筋膜疼痛综合征(MPS)是以存在肌筋膜激痛点(MTrPs)为特征的一种常见骨骼肌疼痛及功能障碍性疾病。目前,临床上对MPS的诊断主要依靠触诊,但其对激痛点定位信度较低。近年来,超声检查技术已被用于区分活跃的潜伏性MTrPs,但已有研究并未充分解决其潜在的解剖结构。MRI作为骨骼肌成像的标准方法,能够利用各序列信号特点以及无辐射动态增强扫描等技术对MPS作出诊断,且其对局部结构的信息获取更为清晰。基于此,本文对MPS的MRI技术应用研究进展进行了综述。

Myofascial pain syndrome(MPS)is a common skeletal muscle pain and dysfunction disorder characterized by the presence of myofascial critical pain points(MTrPs).At present,the clinical diagnosis of this disease mainly depends on palpation,but its positioning reliability of the shock pain point is low.Ultrasonographic techniques have been used to distinguish between active latent MTrPs,but these studies do not adequately address their underlying anatomical structures.MRI remains the standard method for skeletal muscle imaging.Using the signal characteristics of each sequence of MRI and dynamic enhanced scanning,we can not only make the disease diagnosis of MPS,but also obtain the information of local structure more clearly.This review paper reviews the current studies of myofascial pain syndrome(MPS).