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某批亚丁湾护航官兵骨骼肌肉损伤疾病超声表现
黄禾菁1,卢畅1,颜小赛2,赵佳琦1*
0
(1. 海军军医大学(第二军医大学)长征医院超声科, 上海 200003;
2. 海军军医大学(第二军医大学)海军特色医学中心特勤外一科, 上海 200052
*通信作者)
摘要:
目的 探讨超声检查在长远航任务官兵骨骼肌肉系统损伤疾病中的诊断价值。方法 以海军某批执行亚丁湾护航任务的182名官兵为研究对象,对关节和/或软组织疼痛、肿胀、不适的部位进行超声检查。结果 共41名官兵接受检查,阳性诊断共29例。包括膝关节腔积液17例(单侧11例,双侧6例),其中伴发韧带滑囊炎4例,分别为髌韧带下滑囊炎2例、外侧副韧带下滑囊炎1例、踝关节三角韧带下滑囊炎1例;软组织损伤7例,其中皮下浅层软组织损伤4例,肌腱损伤2例,肌肉损伤1例;软组织感染2例;腱鞘囊肿1例;胫骨结节骨软骨炎1例;示指伸肌腱鞘创伤后瘢痕增生1例。结论 超声检查适用于长远航任务中常见骨骼肌肉损伤性疾病的早期诊断、鉴别诊断及疗效评估。
关键词:  超声检查  骨骼肌肉系统  损伤  长远航  诊断
DOI:10.16781/j.0258-879x.2021.07.0803
投稿时间:2020-11-18修订日期:2021-02-03
基金项目:海军军医大学(第二军医大学)长征医院精品课程项目[院医(2020)68号],海军军医大学(第二军医大学)长征医院金字塔优青后备人才计划.
Ultrasonographic features of musculoskeletal injuries of soldiers in Chinese navy escort fleets in Aden Gulf
HUANG He-jing1,LU Chang1,YAN Xiao-sai2,ZHAO Jia-qi1*
(1. Department of Ultrasound, Changzheng Hospital, Naval Medical University (Second Military Medical University), Shanghai 200003, China;
2. Department of Special Services (Ⅰ), Naval Special Medical Center, Naval Medical University (Second Military Medical University), Shanghai 200052, China
*Corresponding author)
Abstract:
Objective To explore the diagnostic value of ultrasonography for musculoskeletal injuries of soldiers in long-distance sailing. Methods A total of 182 soldiers in Chinese navy escort fleets in Aden Gulf were selected, and the pain, swelling and discomfort parts of joint and/or soft tissue were examined by ultrasound. Results Forty-one soldiers were examined, and 29 cases were positively diagnosed. There were 17 cases of knee joint cavity effusion (11 cases on one side and 6 cases on both sides), of which 4 cases were accompanied by ligament bursitis (2 cases of inferior patellar ligament bursitis, 1 case of lateral collateral ligament bursitis, and 1 case of subcutaneous deltoid ligament bursitis of ankle joint); 7 cases of soft tissue injuries, including 4 cases of subcutaneous superficial soft tissue injuries, 2 cases of tendon injuries, and 1 case of muscle injury; 2 cases of soft tissue infection; 1 case of tendon sheath cyst; 1 case of tibial tubercle osteochondrosis; and 1 case of hyperplasia of the extensor tendon sheath trauma after injury. Conclusion Ultrasound is suitable for early diagnosis, differential diagnosis and efficacy evaluation of common musculoskeletal injuries in long-distance sailing.
Key words:  ultrasonography  musculoskeletal system  injuries  long-distance sailing  diagnosis