【摘要】：目的探討超聲測(cè)量正常成人結(jié)節(jié)間溝的可行性。方法對(duì)120名健康成人(正常組)、20個(gè)成人肱骨大體標(biāo)本(標(biāo)本組)及19例肱二頭肌長(zhǎng)頭肌腱脫位患者(脫位組)進(jìn)行結(jié)節(jié)間溝超聲掃查,分別測(cè)量結(jié)節(jié)間溝深度(D)、頂部寬度(W)及中部寬度(~(1/2)W),計(jì)算W/D比值并據(jù)此對(duì)結(jié)節(jié)間溝進(jìn)行分型;對(duì)3組的結(jié)節(jié)間溝測(cè)值及分型進(jìn)行比較。結(jié)果正常組中,優(yōu)勢(shì)手亞組D為(4.14±0.07)mm,W為(10.22±0.17)mm,~(1/2)W為(6.46±0.09)mm,W/~(1/2)W為1.59±0.19;非優(yōu)勢(shì)手亞組D為(4.19±0.06)mm,W為(10.26±0.19)mm,~(1/2)W為(6.33±0.10)mm,W/~(1/2)W為1.62±0.18,優(yōu)勢(shì)手與非優(yōu)勢(shì)手結(jié)節(jié)間溝D、W、~(1/2)W、W/~(1/2)W比較,差異均無統(tǒng)計(jì)學(xué)意義(P均0.05)。標(biāo)本組中,D為(4.24±0.10)mm,W為(9.96±0.24)mm,~(1/2)W為(6.29±0.11)mm;脫位組中,D為(3.15±0.08)mm,W為(14.95±0.26)mm,~(1/2)W為(8.35±0.16)mm。優(yōu)勢(shì)手亞組結(jié)節(jié)間溝的D、W、~(1/2)W及結(jié)節(jié)間溝分型與標(biāo)本組的差異均無統(tǒng)計(jì)學(xué)意義(P均0.05),而優(yōu)勢(shì)手亞組、標(biāo)本組與脫位組結(jié)節(jié)間溝測(cè)值及分型的差異均有統(tǒng)計(jì)學(xué)意義(P均0.01)。結(jié)論超聲可清晰顯示成人結(jié)節(jié)間溝形態(tài)并進(jìn)行測(cè)量,可作為結(jié)節(jié)間溝定量評(píng)估的有效方法。
[Abstract]:Objective to explore the feasibility of ultrasonic measurement of intertubercular sulcus in normal adults. Methods Internodular sulcus (D), was measured in 20 adult humerus gross specimens (specimen group) and 19 patients with long head tendon dislocation of biceps brachii muscle (dislocation group). The intertubercular sulcus depth was measured in 120 healthy adults (normal group), 20 adult humeral gross specimens (specimen group) and 19 patients with long head tendon dislocation of biceps brachii (dislocation group). The apical width (W) and the middle width (~ (1) ~ (2) W),) calculated the ratio of W ~ (D) and then classified the intertubercular sulcus. The values and types of intertubercular sulcus in three groups were compared. Results in the normal group, the dominant hand subgroup D was (4.14 鹵0.07) mm,W and (10.22 鹵0.17) mm,~ (1 / 2) W was (6.46 鹵0.09) mm,W/~ (1 / 2) W (1.59 鹵0.19); In non-dominant hand group, D was (4.19 鹵0.06) mm,W, (10.26 鹵0.19) mm,~ (1? 2) W was (6.33 鹵0.10) mm,W/~ (1? 2) W was 1.62 鹵0.18, and D, W, between dominant hand and non-dominant hand were (4.19 鹵0.06) mm,W/~ and (10.26 鹵0.19) mm,W/~ (1? 2) W, respectively. There was no significant difference between ~ (1) ~ (2) W and W ~ (1) ~ (2) W (all P 0.05). In the sample group, D was (4.24 鹵0.10) mm,W and (9.96 鹵0.24) mm,~ (1 / 2) W was (6.29 鹵0.11) mm;. In dislocation group, D was (3.15 鹵0.08) mm,W and (14.95 鹵0.26) mm,~ (1 / 2) W was (8.35 鹵0.16) mm.. There was no significant difference in D, W, ~ (1) ~ (2) W and the type of intertubercular sulcus between the dominant hand subgroup and the specimen group (P 0.05), but the dominant hand subgroup had no significant difference with the specimen group (P < 0.05). There were significant differences in the values and types of nodules between the sample group and the dislocation group (P 0.01). Conclusion Ultrasonography can clearly display and measure the shape of intertubercular sulcus in adults, which can be used as an effective method for quantitative evaluation of internodular sulcus.
【作者單位】： 江蘇省中醫(yī)院南京中醫(yī)藥大學(xué)附屬醫(yī)院超聲醫(yī)學(xué)科;
【分類號(hào)】：R445.1;R68

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