CAJ | 학술논문

目的：利用彩色多普勒超声检查（CDUS）观察肱骨外上髁炎（LE）患者肘关节外上髁的超声表现，评价CDUS对LE 的诊断价值。方法对27例临床诊断为LE患者的27个患侧肘关节和18例对照者25个正常肘关节行超声检查，观察肱骨外上髁伸肌总腱的厚度、内部回声、有无钙化、撕裂以及内部血流情况，肱骨外上髁骨质是否光整、有无毛糙，并进行对比分析。结果对照组伸肌总腱平均厚度约（0.40±0.06）cm，LE 组伸肌总腱平均厚度约（0.56±0.13）cm，较对照组明显增厚，差异有统计学意义（t＝-5.43，P＜0.01）。病变伸肌总腱回声减低，内部可有钙化或撕裂，彩色血流信号较对照组明显增多。肱骨外上髁骨皮质回声毛糙、不光整。结论 CDUS对肱骨外上髁炎具有一定的诊断价值，在临床应用中可作为诊断肱骨外上髁炎的首选检查方法。
목적：이용채색다보륵초성검사（CDUS）관찰굉골외상과염（LE）환자주관절외상과적초성표현，평개CDUS대LE 적진단개치。방법대27례림상진단위LE환자적27개환측주관절화18례대조자25개정상주관절행초성검사，관찰굉골외상과신기총건적후도、내부회성、유무개화、시렬이급내부혈류정황，굉골외상과골질시부광정、유무모조，병진행대비분석。결과대조조신기총건평균후도약（0.40±0.06）cm，LE 조신기총건평균후도약（0.56±0.13）cm，교대조조명현증후，차이유통계학의의（t＝-5.43，P＜0.01）。병변신기총건회성감저，내부가유개화혹시렬，채색혈류신호교대조조명현증다。굉골외상과골피질회성모조、불광정。결론 CDUS대굉골외상과염구유일정적진단개치，재림상응용중가작위진단굉골외상과염적수선검사방법。
Objective By observing the sonographic features of elbow in lateral epicondylitis (LE) with color doppler ultrasonography (CDUS), evaluate the diagnostic value of CDUS in LE. Methods Twenty-seven affected elbows of 27 patients with clinically diagnosed LE and 25 bilateral elbows of 18 normal controls were examined by ultrasound, to obtaining the thickness, internal echo, having calcification and tear or not, and color flow image of extensor tendon. The bone of humeral epicondyle was whether smooth or rough. The results of two group was compared. Results The thickness of extensor tendon was (0.40±0.06) cm in control group and (0.56±0.13) cm in LE group, which was significantly thicker than control group (t=-5.43, P<0.01), and having significantly statistical significance. Internal echo of lesion extensor tendon was hypoechoic, in which, perhaps had calcification or tear. Color doppler flow signal was significantly increasing than control group. The bone of humeral epicondyle was rough or not smooth. Conclusion CDUS has certain diagnostic value in LE. Ultrasound can be used as preferred method to diagnose LE in clinical application.