Volume 42 Issue 10
Oct.  2021
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Yan LIANG, Jian-bo GAO, Jun-yan MA, Hao YANG. Diagnostic Effect and Imaging Characteristics of High Frequency Ultrasound in Limb Skeletal Muscle Injury[J]. Journal of Kunming Medical University, 2021, 42(10): 157-161. doi: 10.12259/j.issn.2095-610X.S20211015
Citation: Yan LIANG, Jian-bo GAO, Jun-yan MA, Hao YANG. Diagnostic Effect and Imaging Characteristics of High Frequency Ultrasound in Limb Skeletal Muscle Injury[J]. Journal of Kunming Medical University, 2021, 42(10): 157-161. doi: 10.12259/j.issn.2095-610X.S20211015

Diagnostic Effect and Imaging Characteristics of High Frequency Ultrasound in Limb Skeletal Muscle Injury

doi: 10.12259/j.issn.2095-610X.S20211015
  • Received Date: 2021-07-20
    Available Online: 2021-10-29
  • Publish Date: 2021-10-30
  •   Objective  To investigate the diagnostic effect and imaging characteristics of high-frequency ultrasound in skeletal muscle injury of limbs.  Methods  Seventy-two patients with limb musculoskeletal injury after major exercise admitted to Yunnan St.John's Hospital from January 2019 to June 2020 were selected. CT diagnosis and high-frequency ultrasound diagnosis were performed on all patients.The clinical effect, diagnostic efficacy, specificity, sensitivity, accuracy of CT, high-frequency ultrasound and the combination of the two diagnostic methods were compared, as well as the recognition of the two diagnostic methods by clinicians, the sonographic characteristics of muscle injury and the sonographic characteristics of bone injury.  Results  There was no statistical significance between high frequency ultrasound and CT in the detection rate of vascular injury (P > 0.05).The detection rates of muscle injury, bone injury and nerve injury were higher than those of CT diagnosis (P < 0.05). The diagnostic sensitivity and specificity of high-frequency ultrasound combined with CT were better than that of single high-frequency ultrasound and CT (P < 0.05). The diagnostic sensitivity and specificity of high-frequency ultrasound were better than that of CT (P < 0.05). The practicability, economy, safety and accuracy of high-frequency ultrasound were higher than that of CT (P < 0.05). Under high-frequency ultrasound, the main manifestations were broken cartilage echo continuity, neat section edge, visible dislocation at fracture, and swelling or hematoma in surrounding soft tissue. It is characterized by linear strong echo continuity interruption of nerve, and the interrupted area is hypoechoic or non-echoic.The broken end can be swollen and thickened or retracted with spindle hypoechoic shape.  Conclusion   High frequency ultrasound has good diagnostic effect in skeletal muscle injury, and can obtain high diagnostic sensitivity.It can provide scientific basis and guiding value for clinical treatment, and is worthy of popularization and application.
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